MR. BRUCE CORWYN RAFFEL MD NPI 1023029469

NPI Information

  • NPI: 1023029469
  • Provider Name: MR. BRUCE CORWYN RAFFEL, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 100 LANTANA RD
    SUITE 202
    CROSSVILLE, TN
    ZIP 38555
  • Phone: (931) 484-5141

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NPI Details

MR. Bruce Corwyn Raffel, MD is a plastic and reconstructive surgery surgery in Crossville, TN. The provider is a surgeon who specializes in plastic and reconstructive surgery. MR. Bruce Corwyn Raffel, MD NPI is 1023029469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 LANTANA RD
SUITE 202
CROSSVILLE, TN
ZIP 38555-903
Phone: (931) 484-5141
Fax: (931) 484-5620

The enumeration date for this NPI number is 8/11/2006 and was last updated on 12/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryMD17817TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A99349MEDICARE UPIN
23029560MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
33029560MEDICAIDTENNESSEE
44081698OTHERTENNESSEEBLUE CROSS
5P00157378OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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