Provider Demographics
NPI:1093792442
Name:SIMPSON, BERT E (MD)
Entity Type:Individual
Prefix:DR
First Name:BERT
Middle Name:E
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1518
Mailing Address - Street 2:FIRST MED INC
Mailing Address - City:PIGEON FORGE
Mailing Address - State:TN
Mailing Address - Zip Code:37868-1518
Mailing Address - Country:US
Mailing Address - Phone:865-446-4032
Mailing Address - Fax:865-868-4746
Practice Address - Street 1:109 PETERSON ROAD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-0109
Practice Address - Country:US
Practice Address - Phone:865-446-4032
Practice Address - Fax:868-868-4746
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2015-04-16
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Provider Licenses
StateLicense IDTaxonomies
TN377092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
E72501Medicare UPIN