BOB T SOUDER MD NPI 1316934664

NPI Information

  • NPI: 1316934664
  • Provider Name: BOB T SOUDER, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18 WINDWOOD DR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 661-0086

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NPI Details

Bob T Souder, MD is a gastroenterology internal medicine in Jackson, TN. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Bob T Souder, MD NPI is 1316934664. 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:

18 WINDWOOD DR
JACKSON, TN
ZIP 38305-835
Phone: (731) 661-0086
Fax: (731) 661-0281

The NPI 1316934664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Limited ultrasound scan of pelvis (HCPCS:76857)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Ct scan of abdomen without contrast (HCPCS:74150)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 10/3/2005 and was last updated on 3/10/2025.

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
1207RG0100XInternal MedicineGastroenterology8762TENNESSEEYes

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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