Badru, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD41138 Issued in TN

Legal business name

BADRU, INC

Practice address

211 McMurry Blvd E
Hartsville, TN 37074-1109

Phone

(615) 374-4700

Fax

(615) 374-4131

NPI assigned

Oct 10, 2014

Organization subpart

No

Name

Dr. Alexander Badru, M.D.

Title

Owner

Phone

(615) 364-9778

Locations

• Zion Wellness & Medical Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2014.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1154725703",
    "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": "615-374-4700",
            "fax_number": "615-374-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MCMURRY BLVD E",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741109",
            "telephone_number": "615-374-4700",
            "fax_number": "615-374-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADRU, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "BADRU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-364-9778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD41138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zion Wellness & Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Kathryn Babos
• William Bruce Badger, PHARMD
• Kendra Ann-Yvette Bailey
• Connie Annette Bartley, LPN
• Bienvenido T. Samson MD
• Sundee Andrea Bolin, PTA
• Leah K Brown, IBCLC

• All providers in Hartsville, TN
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.