Organization
BRISTOL UROLOGICAL ASSOCIATES, P.C.
Active
Organization
BRISTOL UROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD T COUCH MD (PRESIDENT)
(423) 844-6600
Entity
Organization
Contact information
Practice address
350 BLOUNTVILLE HWY, SUITE 105, BRISTOL, TN 37620-0213
(423) 844-6600
(423) 968-1255
Mailing address
350 BLOUNTVILLE HWY, SUITE 105, BRISTOL, TN 37620-0213
(423) 844-6600
(423) 968-1255
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213340004
UMWA
TN
01
—
064741
ANTHEM
—
01
—
2007375
BLUECROSS BLUESHIELD
TN
01
—
709078
BLUE CROSS BLUE SHIELD PA
—
Enumeration date
10/16/2006
Last updated
06/15/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up