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

Susan Boccarossa, MD

Individual provider Internal Medicine Physician · NPI 1861496622

Susan Boccarossa, MD is an Internal Medicine Physician in Bristol, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

240 Medical Park Blvd Ste 3600
Bristol, TN 37620-7349
Phone: (423) 990-2414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD 29434 (TN)

Record details

NPI number1861496622
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESJanuary 3, 2008
Mailing addressPo Box 9, Kingsport, TN 37662-0009

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