Logan Spencer Bice
Individual provider Active NPI Critical Care Medicine Registered Nurse · Madison, TN
NPI 1548034127 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1548034127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- 0000249296 (TN)
- Practice address
- 315 Hospital Dr
Madison, TN 37115-5030 - Phone
- (615) 732-7662
- NPI assigned
- Nov 14, 2023
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000249296 | TN | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 0000249296 | TN | Yes |
Addresses
Primary practice location
315 Hospital Dr
Madison, TN 37115-5030
Mailing address
315 Hospital Dr
Madison, TN 37115-5030
Phone (615) 732-7662
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- Macy Renee Beyer
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- Eric Bholan
- Luke Alexander Biggs
- Shelby Biggs
- Megan Bird
- Lauren Birmingham
- Healey Lynn Black
All providers in Madison, TN · Critical Care Medicine Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.