Prolotherapy Nashville PLLC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

MD 20344 Issued in TN

Legal business name

PROLOTHERAPY NASHVILLE PLLC

Practice address

278 Franklin Road
Suite 150
Brentwood, TN 37027

Phone

(615) 506-0536

Fax

(615) 507-1646

NPI assigned

May 10, 2010

Last updated

May 10, 2010By 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

Mark Lanier Johnson, MDNPI 1427528546

Title

Owner

Phone

(615) 506-0536

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark Johnson, MD

  • General Practice Physician
  • Brentwood, TN
  • NPI 1427528546
  NPD (past) Authorized official
• Madeleine Anne Smith, DO

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1700645348
  NPD (past)

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1144548579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 FRANKLIN ROAD",
            "address_2": "SUITE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-506-0536",
            "fax_number": "615-507-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 FRANKLIN ROAD",
            "address_2": "SUITE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-506-0536",
            "fax_number": "615-507-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLOTHERAPY NASHVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LANIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-506-0536",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "TN",
            "license": "MD 20344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew Raymond Puerzer

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.