Bristol Urological Associates, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BRISTOL UROLOGICAL ASSOCIATES, P.C.

Practice address

350 Blountville Hwy
Suite 105
Bristol, TN 37620-0213

Phone

(423) 844-6600

Fax

(423) 968-1255

NPI assigned

Oct 16, 2006

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad T Couch, MDNPI 1861446676

Title

President

Phone

(423) 844-6600

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad T. Couch, M.D.

  • Urology Physician
  • Bristol, TN
  • NPI 1861446676
  NPD Authorized official
• Anthony Lee Broglio, M.D.

  • Urology Physician
  • Kingsport, TN
  • NPI 1104878388
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1780764688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY",
            "address_2": "SUITE 105",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376200213",
            "telephone_number": "423-844-6600",
            "fax_number": "423-968-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY",
            "address_2": "SUITE 105",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376200213",
            "telephone_number": "423-844-6600",
            "fax_number": "423-968-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL UROLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-844-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "2007375",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PA",
            "identifier": "709078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "064741",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0213340004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bristol Pediatric Dentistry PLLC
• Bristol Regional Women's Center
• Bristol Surgery Center
• Bristol Surgery Center, LLC
• Bristol Surgical Associates PC
• Ronald Mitchell Brizendine, LCSW
• Broadmore Senior Living
• Andrew Brockmyre, MD
• Amanda Gail Brotherton, MED
• Heather Deeann Brown, PA-C

• Urology Physician in Bristol, TN
• Providers in Bristol, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.