Individual
BRANDY N BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
(423) 495-6312
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3733
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN14320
TN
367500000X
Certified Registered Nurse Anesthetist
RN145092
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517050
—
TN
01
—
4242131
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
P00773711
RAILROAD MEDICARE
—
Enumeration date
08/25/2009
Last updated
02/03/2026
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