Bruce D Boggs, MD | |
124 Old Gray Station Rd Ste 1, Gray, TN 37615-3434 | |
(423) 477-0600 | |
(423) 477-0611 |
Full Name | Bruce D Boggs |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 124 Old Gray Station Rd Ste 1, Gray, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053375386 | NPI | - | NPPES |
BLUE CROSS BLUE SHIE | Other | TN | 4109177 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD39382 (Tennessee) | Primary |
207P00000X | Emergency Medicine | MD39382 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Greeneville Community Hospital | Greeneville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-cities Regional Emergency Physicians, Pc | 3678859477 | 127 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Northeast Tennessee Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467427138 PECOS PAC ID: 7517911712 Enrollment ID: O20050310000431 |
Entity Name | Tri-cities Regional Emergency Physicians, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
Mailing Address | Practice Location Address |
---|---|
Bruce D Boggs, MD 124 Old Gray Station Rd Ste 1, Gray, TN 37615-3434 Ph: (423) 477-0600 | Bruce D Boggs, MD 124 Old Gray Station Rd Ste 1, Gray, TN 37615-3434 Ph: (423) 477-0600 |
Collette Mcwilliams Hoilman, Family Medicine Medicare: Medicare Enrolled Practice Location: 115 Judge Gresham Rd Ste A, Gray, TN 37615 Phone: 423-467-3000 | |
Elizabeth Brezina Palmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2103 Forest Dr, Suite 5, Gray, TN 37615 Phone: 423-477-2885 Fax: 423-477-0113 |