BRISTOL UROLOGICAL ASSOCIATES, P.C. (NPI# 1780764688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780764688 |
| Entity Type | Organization |
| Organization Name | BRISTOL UROLOGICAL ASSOCIATES, P.C. |
| Practice Address |
350 Blountville Hwy Suite 105 Bristol TN 37620-0213 |
| Practice Telephone | 4238446600 |
| Practice Fax Number | 4239681255 |
| Mailing Telephone | 4238446600 |
| Mailing Fax Number | 4239681255 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | DR. CHAD T COUCH (PRESIDENT) |
| Authorized Official Telephone | 4238446600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHIELD | 2007375 | 01 |
| BLUE CROSS BLUE SHIELD PA | 709078 | 01 | |
| ANTHEM | 064741 | 01 | |
| TN | UMWA | 0213340004 | 01 |
| Street Address |
350 BLOUNTVILLE HWY SUITE 105 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-0213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386625663 | Charles H. Christ | Dentist | 350 Blountville Hwy, Suite 202, Bristol, TN 37620-0213 | 2005-11-14 |
| 1194015412 | Stephen K Evans | Anesthesiology | 350 Blountville Hwy, Suite 207, Bristol, TN 37620-0213 | 2011-04-08 |
| 1922238849 | Correct Hearing Inc | Audiologist-Hearing Aid Fitter | 350 Blountville Hwy, Suite 102, Bristol, TN 37620-0213 | 2009-07-27 |
| 1255593356 | Bristol Surgery Center | Clinic/Center | 350 Blountville Hwy, Suite 108, Bristol, TN 37620-0213 | 2008-06-30 |
| 1679731269 | Michael August Long | Anesthesiology | 350 Blountville Hwy, #207, Bristol, TN 37620-0213 | 2008-05-30 |
| 1912174194 | Jayson C. Smith | Dentist | 350 Blountville Hwy, Suite 202, Bristol, TN 37620-0213 | 2008-05-15 |
| 1134391154 | Donald S. Redford, D.d.s, P.c | Dentist | 350 Blountville Hwy, Suite 204, Bristol, TN 37620-0213 | 2008-03-31 |
| 1669662516 | Bristol Dermatology, Pllc | Dermatology | 350 Blountville Hwy, Suite 201, Bristol, TN 37620-0213 | 2007-07-26 |
| 1699975623 | Renee D Dixon | Nurse Anesthetist, Certified Registered | 350 Blountville Hwy, Suite 207, Bristol, TN 37620-0213 | 2007-07-18 |
| 1215136429 | Brandace L Golden | Nurse Anesthetist, Certified Registered | 350 Blountville Hwy, Suite 207, Bristol, TN 37620-0213 | 2007-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1912246901 | Jack Evans Butterworth Jr. | Urology | 121 Westover Dr, Bristol, TN 37620-2947 | 2013-02-11 |
| 1528227204 | Thomas Grimmett Breslin | Urology | 7 Dana Rd, Bristol, RI 02809-1401 | 2008-06-06 |
| 1609299130 | Highlands Urology | Urology | 28 Midway St, Ll Suite 1, Bristol, TN 37620-1706 | 2014-02-04 |
| 1639308810 | Kai Hans Hammerich | Urology | 25 Newell Rd Ste D21, Bristol, CT 06010 | 2009-07-08 |
| 1518123447 | Parrish F Moree | Urology | 350 Steeles Rd, Ste 1, Bristol, TN 37620 | 2008-07-30 |
| 1427228113 | Universtiy Urological Associates, Inc. | Urology | 1180 Hope St, Bristol, RI 02809-1126 | 2008-03-10 |
| 1710015839 | Bristol Urologic Associates PC | Urology | 8 Collins Rd, Bristol, CT 06010 | 2007-03-01 |
| 1760435515 | John G. Griffith | Urology | 28 Midway St, Suite 105, Bristol, TN 37620-1706 | 2006-05-19 |
| 1861446676 | Chad T. Couch | Urology | 350 Blountville Hwy, Suite 105, Bristol, TN 37620-0213 | 2006-05-19 |
| Find all providers in BRISTOL | ||||
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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.