Individual provider Active NPI

William Wesson Bucy, M.D.

  • Family Medicine Physician
  • Germantown, TN
National Provider Identifier
1508831264
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000017320 Issued in TN
Practice address
2162 Judicial Dr
Germantown, TN 38138-3823
Phone
(901) 756-1539
Fax
(901) 756-9862
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000017320 TN Primary

Addresses

Primary practice location

2162 Judicial Dr
Germantown, TN 38138-3823

Mailing address

2162 Judicial Dr
Germantown, TN 38138-3823
Phone (901) 756-1539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000993 TN Practitioner - Family Practice 5597951103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

2013 Exeter Rd
Suite 10
Germantown, TN 38138-3946
Phone (901) 737-4035

2162 Judicial Dr
Germantown, TN 38138-3823
Phone (901) 756-1539

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000017320TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William W. Bucy, MD, PC Family Medicine CurrentSince Jan 1, 1994 Accepting new patients

Locations

2162 Judicial Dr
Germantown, TN 38138
Phone (901) 756-1050

Interoperability endpoints

  • Direct secure messaging: william.bucy.1@14620.direct.athenahealth.com
  • Direct secure messaging: wbucy34880@mlh.direct-ci.com

Organizations & group practices 1

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 5

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1508831264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 JUDICIAL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383823",
            "telephone_number": "901-756-1539",
            "fax_number": "901-756-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 JUDICIAL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383823",
            "telephone_number": "901-756-1539",
            "fax_number": "901-756-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCY",
        "first_name": "WILLIAM",
        "middle_name": "WESSON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000017320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.