Essie Woods Bruell, M.D.

Individual provider Active NPI Internal Medicine Physician · Ooltewah, TN

NPI 1043479769 · NPPES record last updated Jun 6, 2008

Key facts

NPI
1043479769
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
016279 (TN)
Practice address
7514 Tranquility Dr
Ooltewah, TN 37363-9490
Phone
(423) 503-0526
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016279TNMDInternal Medicine Physician
16279TNMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016279 TN Yes

Addresses

Primary practice location

7514 Tranquility Dr
Ooltewah, TN 37363-9490

Mailing address

7514 Tranquility Dr
Ooltewah, TN 37363-9490
Phone (423) 503-0526

Other names

  • Dr. Essie Jeanine Woods Former name

Other providers in Ooltewah, TN

All providers in Ooltewah, TN · Internal Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.