Boulevard Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOULEVARD FAMILY PRACTICE

Doing business as

Boulevard Family Practice

Practice address

855 W Broad St Ste a
Athens, GA 30601-2511

Phone

(706) 850-6134

Fax

(706) 850-6318

NPI assigned

Jul 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Weiner, MBBS

Title

Physician

Phone

(706) 850-6134

Specialties & licenses 1

Addresses

Other names 1

• Boulevard Family Practice Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hillary Reid Newland Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Douglas, GA
  • NPI 1194709733
  NPD (past)
• Cathryn Louise Russell, M.D.

  • Family Medicine Physician
  • New York, NY
  • NPI 1245409739
  NPD (past)

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1194133884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W BROAD ST STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012511",
            "telephone_number": "706-850-6134",
            "fax_number": "706-850-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W BROAD ST STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012511",
            "telephone_number": "706-850-6134",
            "fax_number": "706-850-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-850-6134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MBBS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boulevard Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Patrick Bosway, NCC
• Isaac Mandoh Botchey Jr., DO
• Anne Katherine Bothe, M.A., PH.D., CCC-SLP
• Daniel J Boudreaux, MD
• Taylor Brittain Boudreaux, NP
• Boulevard Family Practice
• Dana Bour, R.N.
• Eric Steven Bour, MD
• Anne Bourbonnais, RN
• Andrea Bowden, PT, DPT

• Family Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.