Individual provider Active NPI

Charles Robert Bosshardt, MD

  • Gastroenterology Physician
  • Chattanooga, TN
National Provider Identifier
1013215078
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
55647 Issued in TN
Practice address
2515 Desales Ave Ste 206
Chattanooga, TN 37404-1100
Phone
(423) 698-8101
Fax
(423) 698-3450
NPI assigned
Mar 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 55647 TN Primary
Gastroenterology Physician 207RG0100X 77562 GA

Addresses

Primary practice location

2515 Desales Ave Ste 206
Chattanooga, TN 37404-1100

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355

Other practice location 1

1651 Gunbarrel Rd Ste 102
Chattanooga, TN 37421-3289
Phone (423) 308-0390

Other practice location 2

4700 Battlefield Pkwy Ste 210
Ringgold, GA 30736-5168
Phone (423) 698-8101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170823001796 GA Practitioner - Gastroenterology 0143467969 Reassigns benefits to 1 organization
I20170823002569 TN Practitioner - Gastroenterology 0143467969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Mercer University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

101 Crye Leike Dr
Fort Oglethorpe, GA 30742-4056
Phone (706) 648-4336

2200 E 3Rd St
S 200
Chattanooga, TN 37404-2716
Phone (423) 643-2500

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy511
Upper gastrointestinal (GI) endoscopy for acid reflux352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77562GAMDGastroenterology Physician
55647TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Medical Group, PC Gastroenterology CurrentSince Aug 1, 2017 Accepting new patients
Galen Medical Group PC CurrentSince Jul 24, 2022 Accepting new patients

Locations

101 Crye Leike Dr
Ft Oglethorpe, GA 30742
Phone (706) 648-4336

4700 Battlefield Pkwy
Ste 300
Ringgold, GA 30736
Phone (706) 406-3900

4700 Battlefield Pkwy
Ste 130
Ringgold, GA 30736
Phone (706) 841-4214

4700 Battlefield Pkwy
Ste 210
Ringgold, GA 30736
Phone (423) 698-8101

2515 Desales Ave
Ste 206
Chattanooga, TN 37404
Phone (423) 629-6550

2200 E 3rd St
Ste 200
Chattanooga, TN 37404
Phone (423) 643-2500

1651 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 308-0292

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

Networks

  • MS PPO
  • FL HMO D-SNP
  • KY PPO C-SNP
  • FL HMO
  • TN PPO
  • MS PPO D-SNP
  • MS PPO C-SNP
  • TN PPO C-SNP
  • FL HMO C-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • KY PPO
  • AL HMO D-SNP
  • AL HMO

Interoperability endpoints

  • Direct secure messaging: charles.bosshardt.1@14399.direct.athenahealth.com
  • Direct secure messaging: cbosshardt134725@direct.stlukeshealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1013215078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 DESALES AVE STE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041100",
            "telephone_number": "423-698-8101",
            "fax_number": "423-698-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Gunbarrel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213289",
            "country_code": "US",
            "telephone_number": "423-308-0390",
            "fax_number": "423-308-0395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Battlefield Pkwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307365168",
            "country_code": "US",
            "telephone_number": "423-698-8101",
            "fax_number": "423-698-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSHARDT",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "55647",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "77562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.