Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Sim, MD

Individual provider Gastroenterology Physician · NPI 1275633844

Dr. Samuel Sim, MD is a Gastroenterology in Bristol, Tennessee. Graduated from University of Alberta, Faculty of Medicine in 1991, 35 years ago. Practices with Maui Health System a Kaiser Foundation Hospitals LLC, a 55-clinician group and works from 6 locations. Licensed in Arizona, Georgia, Hawaii and Michigan and 2 more.

Years since qualifying
35
Trained at
University of Alberta, Faculty of Medicine
Licensed in
AZ, GA, HI, MI, MT, WA
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-1121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1390 W 16th St, Yuma, AZ 85364-4430 — (928) 344-4325
  • 221 Mahalani St, Wailuku, HI 96793-2526 — (808) 224-9056
  • 3304 Cooley Ct, Portage, MI 49024-7430 — (269) 349-2266
  • 320 Sunnyview Ln, Kalispell, MT 59901-3129 — (406) 752-7441
  • 130 W Ravine Rd, Kingsport, TN 37660-3837 — (423) 224-4000

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 110424 (GA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 77301 (AZ)
Gastroenterology Physician Taxonomy 207RG0100X · Licence EMC0004965 (MI)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 129513 (MT)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD-12112 (HI)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD00032743 (WA)

Record details

NPI number1275633844
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address3250 Se 164th Ave Ste 205, Vancouver, WA 98683-9313

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF ALBERTA, FACULTY OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Maui Health System A Kaiser Foundation Hospitals Llc — 55 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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