Provider Demographics
NPI:1780870048
Name:WILLIAM W. BUCY, MD, PC
Entity type:Organization
Organization Name:WILLIAM W. BUCY, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUCY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-756-1050
Mailing Address - Street 1:2162 JUDICIAL DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3823
Mailing Address - Country:US
Mailing Address - Phone:901-756-1050
Mailing Address - Fax:901-756-9862
Practice Address - Street 1:2162 JUDICIAL DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3823
Practice Address - Country:US
Practice Address - Phone:901-756-1050
Practice Address - Fax:901-756-9862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3704451Medicare PIN