MEDICARE: MR. BRENT SHELDON NEAL MD

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	207R00000X	Internal Medicine Physician	38563	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4084880	OTHER	TN	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306849740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRENT SHELDON NEAL MD

Provider Business Mailing Address
First Line	:	424 N BROAD ST
Second Line	:
City	:	NEW TAZEWELL
State	:	TN
Zip	:	37825-6606
Country	:	US
Telephone Number	:	423-257-5700
Fax Number	:	865-374-2200

Provider Business Practice Location Address
First Line	:	424 N BROAD ST
Second Line	:
City	:	NEW TAZEWELL
State	:	TN
Zip	:	37825-6606
Country	:	US
Telephone Number	:	423-257-5700
Fax Number	:	865-374-2200

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	06/26/2020

Similar Medicare Providers

1992733372 — DR. JERRY MICHAEL WIETING D.O.
Practice Location Address:

424 N BROAD ST
NEW TAZEWELL, TN
37825-6606

Practice Phone: 423-869-7193
Practice Fax: 423-869-7195

1134236201 — JUANITA M BROWN DO
Practice Location Address:

424 N BROAD ST
NEW TAZEWELL, TN
37825-6606

Practice Phone: 423-869-7193
Practice Fax: 423-869-7195

1083782221 — STANIFER PHARMACY LLC
Practice Location Address:

420 N BROAD ST
NEW TAZEWELL, TN
37825-6606

Practice Phone: 423-626-7337
Practice Fax: 423-626-0189

1124155429 — MR. WILLIAM R STANIFER JR. DPH
Practice Location Address:

420 N BROAD ST
NEW TAZEWELL, TN
37825-6606

Practice Phone: 423-626-7337
Practice Fax: 423-626-0189

1275660318 — RUSSELL ESSARY PHARMD
Practice Location Address:

420 N BROAD ST
NEW TAZEWELL, TN
37825-6606

Practice Phone: 423-626-7337
Practice Fax: 423-626-0189

1962530436 — DR. JAN D ZIEREN DO
Practice Location Address:

424 N BROAD ST
NEW TAZEWELL, TN
37825-6606

Practice Phone: 423-869-7193
Practice Fax: 423-869-7195

Directions to “ MR. BRENT SHELDON NEAL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.