MEDICARE: DR. BILLY C TRENT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	06662	TN
2	2085R0202X	Diagnostic Radiology Physician	06662	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	37288	OTHER	KY	MEDICAL LICENSE
2	06662	OTHER	TN	MEDICAL LICENSE

General Provider Information

NPI Number	:	1184671547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BILLY C TRENT M.D.

Provider Business Mailing Address
First Line	:	3900 SAM COOPER LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-4212
Country	:	US
Telephone Number	:	865-688-4098
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 SAM COOPER LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-4212
Country	:	US
Telephone Number	:	865-688-4098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	06/12/2026

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