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MR. BRUCE CORWYN RAFFEL MD NPI 1023029469


NPI Information

NPI: 1023029469
Provider Name: MR. BRUCE CORWYN RAFFEL, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
100 LANTANA RD
SUITE 202
CROSSVILLE, TN
ZIP 38555
Phone: (931) 484-5141
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.