Individual
CODY BOGEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6130 NOLENSVILLE PIKE, NASHVILLE, TN 37211
(615) 284-1450
(629) 208-2691
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-1450
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55961
TN
208000000X
Pediatrics Physician
55961
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2014
Last updated
03/09/2020
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