Individual provider Active NPI

Bruce L Henschen, MD

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1962448514
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
17885 Issued in TN
Practice address
2240 Sutherland Ave
Suite 103
Knoxville, TN 37919
Phone
(865) 588-8831
Fax
(865) 588-8841
NPI assigned
Jun 21, 2006
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 17885 TN Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17885 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 17885 TN

Addresses

Primary practice location

2240 Sutherland Ave
Suite 103
Knoxville, TN 37919

Mailing address

PO Box 94670
Oklahoma City, OK 73143-4670
Phone (405) 682-3303

Other practice location 1

501 20th St Ste 303
Knoxville, TN 37916-1899
Phone (865) 331-1375

Other practice location 2

9352 Park West Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1974

Other practice location 3

944 Oak Ridge Tpke
Oak Ridge, TN 37830-6917
Phone (865) 835-3810

Other practice location 4

550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6000

Other practice location 5

744 Middle Creek Rd Ste 208
Sevierville, TN 37862-5036
Phone (865) 446-9725

Other practice location 6

8045 Roane Medical Center Dr Ste 240
Harriman, TN 37748-8333
Phone (865) 316-2876

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
I20100225000390 TN Practitioner - Pulmonary Disease 6507943693 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17885TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2000 Accepting new patients
Statcare Inpatient LLC CurrentSince Jul 1, 2017 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2000 Accepting new patients
Parkwest Medical Center Past Accepting new patients
East Tennessee Pulmonary and Critical Care Physicians Critical Care Medicine Past Accepting new patients
Knoxville Pulmonary Group, P.a. Pulmonary Disease Past Accepting new patients

Locations

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

744 Middle Creek Rd
Ste 208
Sevierville, TN 37862
Phone (865) 446-9675

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1962448514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94670",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731434670",
            "telephone_number": "405-682-3303",
            "fax_number": "405-384-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 SUTHERLAND AVE",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-588-8831",
            "fax_number": "865-588-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 20th St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379161899",
            "country_code": "US",
            "telephone_number": "865-331-1375",
            "fax_number": "865-331-1714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9352 Park West Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234325",
            "country_code": "US",
            "telephone_number": "865-373-1974",
            "fax_number": "865-373-1059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "944 Oak Ridge Tpke",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306917",
            "country_code": "US",
            "telephone_number": "865-835-3810",
            "fax_number": "865-835-3811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Fort Loudoun Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725673",
            "country_code": "US",
            "telephone_number": "865-271-6000",
            "fax_number": "865-271-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 Middle Creek Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625036",
            "country_code": "US",
            "telephone_number": "865-446-9725",
            "fax_number": "865-446-9726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8045 Roane Medical Center Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488333",
            "country_code": "US",
            "telephone_number": "865-316-2876",
            "fax_number": "865-374-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSCHEN",
        "first_name": "BRUCE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "17885",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "17885",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "17885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.