Organization Active NPI

William G Boger MD PLLC

  • Internal Medicine Physician
  • Spring Hill, TN
National Provider Identifier
1013224617
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000035465 Issued in TN
Legal business name
WILLIAM G BOGER MD PLLC
Practice address
2000 Reserve Blvd
Spring Hill, TN 37174-2370
Phone
(931) 486-4200
NPI assigned
Sep 3, 2010
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Boger, MDNPI 1396753356
Title
Owner
Phone
(615) 327-1034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000035465 TN Primary

Addresses

Primary practice location

2000 Reserve Blvd
Spring Hill, TN 37174-2370

Mailing address

5326 Main St Ste B
Spring Hill, TN 37174-2411
Phone (615) 327-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315001093 TN Part B Supplier - Clinic/Group Practice 5496937278 Receives reassigned benefits from 3 practitioners
Practice locations: Spring Hill, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1013224617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 MAIN ST STE B",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742411",
            "telephone_number": "615-327-1034",
            "fax_number": "615-327-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RESERVE BLVD",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742370",
            "telephone_number": "931-486-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G BOGER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "BOGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-327-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000035465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.