Individual
DR. RICHARD MATTHEW BUURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1645 S MAIN ST, SUITE 101, CROSSVILLE, TN 38555-2908
(931) 484-7531
(931) 456-9515
Mailing address
1645 S MAIN ST, SUITE 101, CROSSVILLE, TN 38555-2908
(931) 484-7531
(931) 456-9515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28587
KY
207Q00000X
Family Medicine Physician
Primary
48126
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188288
ANTHEM BCBS
KY
01
—
080167905
PALMETTO GBA RR MEDICARE
KY
05
—
64285877
—
KY
Enumeration date
09/29/2006
Last updated
12/21/2011
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