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Individual

MR. ROBERT STANLEY BURCHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2025-01240
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD37843
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1509247
MEDICAID - MTI
TN
05
1509247
TN
05
1942254883
NC
05
30016541670002
VA
05
3329676
TN
05
3329677
TN
01
4133033
BCBS
TN
01
4133039
BCBS
TN
01
4200672
BCBS TN
TN
01
4291480
BCBS - MTI
TN
05
6409947600
KY
01
P00344251
RAILROAD MEDICARE
TN
Enumeration date
05/22/2006
Last updated
09/04/2025
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