Bob T Souder, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

8762 Issued in TN

Practice address

18 Windwood Dr
Jackson, TN 38305-8835

Phone

(731) 661-0086

Fax

(731) 661-0281

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1316934664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WINDWOOD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058835",
            "telephone_number": "731-343-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WINDWOOD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058835",
            "telephone_number": "731-661-0086",
            "fax_number": "731-661-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDER",
        "first_name": "BOB",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "8762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyanna Soler, FNP-C
• David J Soll, MD
• Steven Anthony Sopcak, D.C.
• Sidhartha Sorker, OTR/L
• Christy Ann Sorrell, PT
• Sound Mind Counseling
• South Jackson Medical & Wellness Center LLC
• Southeastern Hematology Oncology Associates PLLC
• Southern Hands Quality Care
• Alanson R Spalding III, M.D.

• Gastroenterology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.