T. GLEN BOUDER MD NPI 1043203318

NPI Details

T. Glen Bouder, MD is a critical care medicine internal medicine in Winchester, VA with 34 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. T. Glen Bouder, MD NPI is 1043203318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

1840 AMHERST ST
WINCHESTER, VA
ZIP 22601-808
Phone: (540) 536-8874
Fax: (540) 536-7847

The NPI 1043203318 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope (HCPCS:31629)
• Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes (HCPCS:31652)
• Exam of lung airways using an endoscope (HCPCS:31623)
• Computer-assisted image-guided navigation of lung airways using an endoscope (HCPCS:31627)
• Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound (HCPCS:31654)
• Biopsy of lobe of lung using an endoscope, 1 lobe (HCPCS:31628)
• Critical care, first 30-74 minutes (HCPCS:99291)
• Irrigation and suction of lung airways to obtain cells using an endoscope (HCPCS:31624)

The enumeration date for this NPI number is 8/23/2005 and was last updated on 5/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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