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