Badru, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41138 Issued in TN

Legal business name

BADRU, INC

Practice address

521 W Main St
Lebanon, TN 37087-3460

Phone

(615) 547-6200

Fax

(615) 547-6202

NPI assigned

Feb 11, 2008

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander O Badru, MD

Title

MD/Owner of Badru, Inc

Phone

(615) 547-6200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1073781217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1214",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370881214",
            "telephone_number": "615-547-6200",
            "fax_number": "615-547-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873460",
            "telephone_number": "615-547-6200",
            "fax_number": "615-547-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADRU, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "BADRU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD/OWNER OF BADRU, INC",
        "authorized_official_telephone_number": "615-547-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "41138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.