DAVID BRUCE COFFEY, MD — NPI 1912011792 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1912011792

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208D00000X (CMS 01)

Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice

Box 32 Service Location & ZIP+4

281 UNDERPASS DRIVE, ONEIDA, TN, 37841

Official NPPES Practice Location

Practice Phone & Referral Fax

(423) 569-5454

Fax: (423) 569-5902

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1912011792 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(4) — Felony Controlled Substance Conviction — Effective 2023-05-18). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1912011792` (NPI-1 Individual Practitioner)
Provider / Legal Name	DAVID BRUCE COFFEY, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice NUCC Code: `208D00000X` (General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	281 UNDERPASS DRIVE, ONEIDA, TN, 37841
Practice Telephone / Fax	Tel: (423) 569-5454 \| Fax: (423) 569-5902
Administrative Mailing Address	PO BOX 4729, ONEIDA, TN, 37841
Enumeration & Last Sync	Enumerated: 2006-08-18 \| CMS Record Updated: 2016-08-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

281 UNDERPASS DRIVE, ONEIDA, TN, 37841

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Plain-English Taxonomy & CMS Crosswalk (208D00000X)

What Does Taxonomy Code 208D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 01 (Physician/General Practice) • CMS Code 99 (Physician/Undefined Physician type[6])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DAVID BRUCE COFFEY, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: TN \| License: `MD0000009950` \| Primary: Secondary
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: TN \| License: `MD0000009950` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DAVID BRUCE COFFEY, MD (NPI #1912011792)