DR. BRICE T. BOUGHNER (NPI# 1669428603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669428603 |
| Entity Type | Individual |
| Full Name | DR. BRICE T. BOUGHNER |
| Credential | MD |
| Practice Address |
1224 Trotwood Ave Columbia TN 38401-4802 |
| Mailing Address |
4032 Miles Johnson Pkwy Spring Hill TN 37174-4504 |
| Practice Telephone | 9313811111 |
| Practice Fax Number | 9315526663 |
| Mailing Telephone | 9313811111 |
| Mailing Fax Number | 9315536662 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
44452 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
18552 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | P00687770 | 01 |
| TN | 30027211 | 05 |
| Street Address |
1224 TROTWOOD AVE |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949191 | James Blair Butler | Radiology | 1224 Trotwood Ave, Southern Radiology Associates, Pllc, Columbia, TN 38401 | 2005-08-11 |
| 1063034791 | Kristen Nichole Miller | Physical Therapist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2020-05-15 |
| 1487276358 | Jessie Marie Hipple | Pharmacist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2020-05-13 |
| 1427684703 | Emily Robinson Mckamey | Registered Nurse | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2020-03-18 |
| 1013542711 | Robert Allen | Physical Therapist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2020-03-03 |
| 1508408089 | Kacey Danette Rice | Registered Nurse | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2019-10-16 |
| 1144862400 | Trisha Marie Van Wyk | Dietitian, Registered | 1224 Trotwood Ave, Columbia, TN 38401 | 2019-10-08 |
| 1518522309 | Courtney Brooke Hollis | Nurse Practitioner | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2019-05-07 |
| 1871070839 | Leah Shrader | Dietitian, Registered | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2018-07-23 |
| 1932695772 | Hannah Elizabeth Boren | Pharmacist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
| 1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1467993386 | Iv Radiology Medical Group | Radiology | 10000 Town Center Ave, Apt 244, Columbia, MD 21044-5418 | 2017-03-10 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| 1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
| 1669836292 | Brian Trissell | Radiology | 1 Hospital Drive Dc069.10, Columbia, MO 65212 | 2016-04-10 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1750765558 | Joel Schmidt | Radiology | 1 Hospital Drive, Dc069.10, Columbia, MO 65212 | 2015-07-13 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.