Provider Demographics
NPI:1053582015
Name:PAUL CYRIL BUECHEL MD, PA
Entity type:Organization
Organization Name:PAUL CYRIL BUECHEL MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:CYRIL
Authorized Official - Last Name:BUECHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-423-2508
Mailing Address - Street 1:4323 CAROTHERS PKWY
Mailing Address - Street 2:SUITE 608
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5914
Mailing Address - Country:US
Mailing Address - Phone:615-423-2508
Mailing Address - Fax:615-599-9636
Practice Address - Street 1:4323 CAROTHERS PKWY
Practice Address - Street 2:SUITE 608
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5914
Practice Address - Country:US
Practice Address - Phone:615-423-2508
Practice Address - Fax:615-599-9636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN342122084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3852558Medicare PIN
TNG06321Medicare UPIN