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

Travis Boaz, MD

Individual provider Diagnostic Radiology Physician · NPI 1831120146

Travis Boaz, MD is a Diagnostic Radiology in Bristol, Tennessee. Graduated from George Washington University School of Medicine in 1992, 34 years ago. Practices with Blue Ridge Radiology PC, a 79-clinician group and accepts Medicare assignment. Licensed in North Carolina, South Carolina and Tennessee.

Years since qualifying
34
Trained at
George Washington University School of Medicine
Licensed in
NC, SC, TN
In the registry since
2006
Specialties on file
3
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

3053 W State St
Bristol, TN 37620-1720
Phone: (423) 301-6567
Fax: (423) 573-9672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 200201050 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 28433 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 36750 (TN)

Record details

NPI number1831120146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address3053 W State St, Bristol, TN 37620-1720

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Blue Ridge Radiology Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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