| 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 | 105 |
| 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 | 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: Accepting Medicare Assignments 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 |