Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAD WILLIS, M.D.
Active Sole ProprietorDR. CHAD WILLIS, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in BOWLING GREEN, Kentucky. NPI 1184087959 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · BOWLING GREEN, KY
Registration Details
- NPI Number
- 1184087959
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2016 (10.420172835642 yrs)
- Last Updated
- Aug 31, 2022
- Licenses
-
42665 (AL)56988 (KY)56988 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
825 2ND AVE STE C2BOWLING GREEN, KY, 421011791Browse KY providers · Browse ZIP 42101
- Phone
- 2707802780
- Fax
- 2707802755
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.