Bruce Duncan Perry

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

54347 Issued in TN

Practice address

1804 Hixson Pike
Chattanooga, TN 37405-1514

Phone

(832) 472-9951

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1578211769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051514",
            "telephone_number": "832-472-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051514",
            "telephone_number": "832-472-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "BRUCE",
        "middle_name": "DUNCAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "54347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Perrel, LCSW
• Martha Perrin, R.N.
• Taylor Perrin, BEHAVIOR TECHNICIAN
• Zoe Perrin
• Benjamin Christopher Perry, DDS
• Elizabeth T Perry, DNP
• Ethan Jack Perry
• Gershon Y Perry, M.D., F.A.C.C
• Jacob Perry, DDS
• Jeffrey Wayne Perry, PHARM.D.

• Child & Adolescent Psychiatry Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Child & Adolescent Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.