Boughner, Brice T.

Boughner, Brice T. is an individual health care provider with primary practice located at 1224 Trotwood Ave , Columbia TN 38401-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Boughner, Brice T. can be contacted via phone (931) 381-1111.

Contact Information

Primary practice address
1224 Trotwood Ave Columbia TN 38401-4802
Phone: (931) 381-1111
Fax: (931) 552-6663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18552 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44452 Tennessee

Profile Details

NPI number 1669428603
LBN Legal business name Boughner, Brice T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669428603 NPPES
Tennessee MEDICAID 30027211
Tennessee Other P00687770

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