1. Home
  2. Directory
  3. Tennessee
  4. Antioch
  5. Physician Assistant
  6. NPI Profile

BOLA GABRIEL
NPI 1376079731
Physician Assistant in Antioch, TN

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
5100 BROOKSTONE CT, ANTIOCH, TN 37013(615) 569-4067 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bola Gabriel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLA GABRIEL (NPI 1376079731) is an individual physician assistant in Antioch, Tennessee and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376079731
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBOLA GABRIEL
Location Address5100 BROOKSTONE CTAntioch, TN 37013-5687
Mailing Address5100 Brookstone CtAntioch, TN 37013-5687 · (615) 569-4067
Phone(615) 569-4067
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 4, 2017
✔ NPI 1376079731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5100 BROOKSTONE CT, Antioch, TN 37013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bola Gabriel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416221999
PECOS Enrollment IDI20190910002332
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services51 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
32 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bola Gabriel's NPI number?

The NPI number for Bola Gabriel is 1376079731. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Bola Gabriel located?

Bola Gabriel practices at 5100 Brookstone Ct, Antioch, TN 37013. The listed phone number is (615) 569-4067.

What is Bola Gabriel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bola Gabriel enrolled in Medicare?

Yes. Bola Gabriel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bola Gabriel accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Bola Gabriel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bola Gabriel was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.