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SUSAN BOCCAROSSA MD
NPI 1861496622
Internal Medicine in Bristol, TN

Active since June 09, 2005
240 MEDICAL PARK BLVD, STE 3600, BRISTOL, TN 37620(423) 990-2414 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Boccarossa Md NPPES

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

SUSAN BOCCAROSSA MD (NPI 1861496622) is an individual internal medicine provider in Bristol, Tennessee, licensed in Tennessee (MD 29434) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1861496622
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSAN BOCCAROSSACredential: MD
Location Address240 MEDICAL PARK BLVD, STE 3600Bristol, TN 37620-7349
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Phone(423) 990-2414
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateJanuary 3, 2008
✔ NPI 1861496622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · MD 29434
Definition
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.
240 MEDICAL PARK BLVD, Bristol, TN 37620
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Other Identifiers 7

Medicare PIN0281780003
Medicaid5830508VA
Medicare ID-Type Unspecified3837340TN
Medicare PIN0281780001
Medicare PINCC0450VA
Medicare UPINF00909
Medicare ID-Type Unspecified3837341TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICK WHILES MD
Internal Medicine
240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620
Sullivan County (423) 990-2414
ANDREW BROCKMYRE MD
Family Medicine
240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620
Sullivan County (423) 990-2400
TRUSHA PATEL DO
Internal Medicine (Rheumatology)
240 MEDICAL PARK BLVD, STE 3800
BRISTOL, TN 37620
Sullivan County (423) 990-2424
SAPLING GROVE AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
240 MEDICAL PARK BLVD, STE 2400
BRISTOL, TN 37620
Sullivan County (423) 990-2470
SPINE AND HAND CENTER, PC
Specialist
240 MEDICAL PARK BLVD, SUITE 2700
BRISTOL, TN 37620
Sullivan County (423) 844-0501
DR. RYAN CHRISTOPHER KENNEDY M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
240 MEDICAL PARK BLVD, STE 3800
BRISTOL, TN 37620
Sullivan County (423) 990-2424
SARAH ANN FERGUSON NP
Nurse Practitioner
240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620
Sullivan County (423) 990-2414
TAYLOR WHITE ATC
Specialist/Technologist (Athletic Trainer)
240 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 990-2414

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 Susan Boccarossa's NPI number?

The NPI number for Susan Boccarossa is 1861496622. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Susan Boccarossa located?

Susan Boccarossa practices at 240 Medical Park Blvd Ste 3600, Bristol, TN 37620. The listed phone number is (423) 990-2414.

What is Susan Boccarossa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Susan Boccarossa was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.