Active NPI
Michael Frederick Bugg, MD
- Anatomic Pathology Physician
- Germantown, TN
National Provider Identifier
1134153703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 0000023860
- Practice address
- 7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745 - Phone
- (901) 542-6801
- Fax
- (901) 542-6871
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 0000023860 | TN | Primary |
Addresses
Primary practice location
7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745
Mailing address
7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745
Phone (901) 542-6801
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123430001 | Other | AR | MEDICAID |
| 203696604 | Other | MO | MEDICAID |
| 96809 | Other | AR | BLUE CROSS OF ARKANSAS |
| 220024507 | Other | RAIL ROAD MEDICARE | |
| 3075050 | Medicaid | TN | |
| 3031619 | Other | TN | BLUE CARE |
| 000000004128 | Other | TN | MEMPHIS MANAGED CARE |
| 0112796 | Other | MS | MEDICAID |
| 3031619 | Other | TN | BLUE CROSS BLUE SHIELD TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000023860 | TN | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumbull Laboratories, LLC | Current | Accepting new patients | |
| Memphis Pathology Laboratory | Past | Accepting new patients |
Locations
7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trumbull Labs
- Clinical Medical Laboratory
- Germantown, TN
- NPI 1063449320
-
dba American Esoteric Laboratories
- Clinical Medical Laboratory
- Memphis, TN
- NPI 1548370745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1134153703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 WOLF RIVER BLVD",
"address_2": "SUITE 200",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381745",
"telephone_number": "901-542-6801",
"fax_number": "901-542-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 WOLF RIVER BLVD",
"address_2": "SUITE 200",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381745",
"telephone_number": "901-542-6801",
"fax_number": "901-542-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGG",
"first_name": "MICHAEL",
"middle_name": "FREDERICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TN",
"license": "0000023860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "123430001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "203696604",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ARKANSAS",
"identifier": "96809",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "220024507",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3075050",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE",
"identifier": "3031619",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEMPHIS MANAGED CARE",
"identifier": "000000004128",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "0112796",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "3031619",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.