DR. KENNETH W. BRAWNER (O.D.) – Optometrist, NPI 1477545341

DR. KENNETH W. BRAWNER (O.D.) is a healthcare provider. based in Goodlettsville, Tennessee. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. ODT690 (TN). The NPI Number for DR. KENNETH W. BRAWNER (O.D.) is 1477545341

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH W. BRAWNER (O.D.)
NPI
1477545341
Phone
(615) 859-1912
Address
900 CONFERENCE DR
Enumeration Date
17 August 2005
Last Update Date
22 March 2012

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6158591912
Graduation Year
1978 (48 years ago)
PAC ID
5799947529
Professional Enrollment ID
I20120424000418
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH W. BRAWNER (O.D.)

  • 900, Conference Drive, Northcreek Commons, Goodlettsville, Davidson County, Tennessee, 37072, United States

    SUITE 15-B

    GOODLETTSVILLE, TN 370721909

    Phone: (615) 859-1912

    Fax: (615) 859-1965

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120424000418IOptometryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37072)

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Reviews

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Frequently asked questions

Is DR. KENNETH W. BRAWNER (O.D.) listed with a National Provider Identifier?
Yes — DR. KENNETH W. BRAWNER (O.D.) has NPI 1477545341 on file in the registry.
Is DR. KENNETH W. BRAWNER (O.D.) still an active registrant?
DR. KENNETH W. BRAWNER (O.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. KENNETH W. BRAWNER (O.D.)?
At a glance, DR. KENNETH W. BRAWNER (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KENNETH W. BRAWNER (O.D.)?
Directory geography for DR. KENNETH W. BRAWNER (O.D.) centers on Goodlettsville, Tennessee.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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