Individual provider Active NPI

Michael Frederick Bugg, MD

  • Anatomic Pathology Physician
  • Germantown, TN
National Provider Identifier
1134153703
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
0000023860 Issued in TN
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

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
123430001OtherARMEDICAID
203696604OtherMOMEDICAID
96809OtherARBLUE CROSS OF ARKANSAS
220024507OtherRAIL ROAD MEDICARE
3075050MedicaidTN
3031619OtherTNBLUE CARE
000000004128OtherTNMEMPHIS MANAGED CARE
0112796OtherMSMEDICAID
3031619OtherTNBLUE 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

LicenseStateTypeSpecialty
0000023860TNMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.