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

Mark W Bookout, MD

Individual provider Otolaryngology Physician · NPI 1356339063

Mark W Bookout, MD is an Otolaryngology Physician in East Ridge, Tennessee. Licensed in Georgia and Tennessee. Registered with an NPI since 2005.

Licensed in
GA, TN
In the registry since
2005
Specialties on file
2
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

4151 Ringgold Rd
East Ridge, TN 37412-2434
Phone: (423) 622-5165
Fax: (423) 622-5167
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 011511 (TN)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 025947 (GA)

Record details

NPI number1356339063
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 7, 2005
Last updated in NPPESDecember 10, 2012
Mailing address6918 Shallowford Rd, Suite 206, Chattanooga, TN 37421-6784