Provider Demographics
NPI:1184782740
Name:DOLAPTCHIEV, BOJIDAR (MD)
Entity type:Individual
Prefix:
First Name:BOJIDAR
Middle Name:
Last Name:DOLAPTCHIEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4516 MAJESTIC MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-1593
Mailing Address - Country:US
Mailing Address - Phone:865-387-2498
Mailing Address - Fax:423-839-0614
Practice Address - Street 1:435 2ND ST
Practice Address - Street 2:B
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-3703
Practice Address - Country:US
Practice Address - Phone:423-625-4515
Practice Address - Fax:423-613-1698
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000041576207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN38334272Medicaid
TN1424662OtherBCBS