Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

East Tennessee Ambulatory Surgery Center LLC

Ambulatory Surgical Clinic/Center in Johnson City, TN · enumerated 2005 · authorized official Jim Brantner, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659360071

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Registry record

Entity type Organization (Type 2)

Legal business name East Tennessee Ambulatory Surgery Center LLC

Practice address 701 Med Tech Pkwy, Johnson City, TN, 37604

Phone (423) 283-7302

Fax (423) 282-3670

Enumeration date Oct 18, 2005

Last updated in NPPES Apr 20, 2008

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 0000000109 (TN) Primary

Authorized official

Name Jim Brantner

Title Medical Director

Phone (423) 283-7302

Other identifiers

Identifier	Type	State	Issuer
145422	Other	-	UMWA
0007447071	Other	-	AETNA
3135707	Other	-	BCBS OF TN
3288092	Medicaid	TN	-
3135707	Other	TN	BCBS TENNCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-20. Verify at npiregistry.cms.hhs.gov.

Where is East Tennessee Ambulatory Surgery Center LLC located?

The practice location on file with NPPES is in Johnson City, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.