GERRY BOCCAROSSA DO NPI 1912901760

NPI Information

  • NPI: 1912901760
  • Provider Name: GERRY BOCCAROSSA, DO
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 412 MOUNTAIN VIEW CT
    BLOUNTVILLE, TN
    ZIP 37617
  • Phone: (423) 220-0650

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NPI Details

Gerry Boccarossa, DO is an internal medicine in Blountville, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Gerry Boccarossa, DO NPI is 1912901760. 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:

412 MOUNTAIN VIEW CT
BLOUNTVILLE, TN
ZIP 37617-252
Phone: (423) 220-0650

The NPI 1912901760 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/2/2011.

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
1207R00000XInternal Medicine0102201244VIRGINIANo
2207R00000XInternal MedicineDO 1162TENNESSEEYes

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
1005830494MEDICAIDVIRGINIA
2V V 2663AMEDICARE PINVIRGINIA
3C06181MEDICARE PINVIRGINIA
40281780001MEDICARE PIN
5002975H81MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
63304613MEDICAIDTENNESSEE
7110190168MEDICARE PINTENNESSEE
83304613MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
9CC0450MEDICARE PINTENNESSEE
10002975H81MEDICARE PINVIRGINIA
11E56418MEDICARE UPIN
120281780003MEDICARE PIN

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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