Roberts, Bruce T
Roberts, Bruce T is an individual health care provider with primary practice located at 463 Bmh Physicians Office Bldg , Maryville TN 37804-5807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Roberts, Bruce T can be contacted via phone (865) 980-5100.Contact Information
Primary practice address
463 Bmh Physicians Office Bldg
Maryville TN 37804-5807
Phone: (865) 980-5100
Fax: (865) 980-5105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 24192 | Tennessee |
Profile Details
NPI number | 1891872982 |
---|---|
LBN Legal business name | Roberts, Bruce T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Oct 29th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891872982 | NPPES |
Tennessee | MEDICAID | 3073081 |
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