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
Fax: (865) 980-5105
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891872982 NPPES
Tennessee MEDICAID 3073081

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