Advanced Health and Wellness Center of Nashville LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ADVANCED HEALTH AND WELLNESS CENTER OF NASHVILLE LLC

Practice address

2001 Mallory LN
Suite 301
Franklin, TN 37067-8233

Phone

(615) 905-0120

Fax

(615) 778-2900

NPI assigned

Jul 22, 2014

Last updated

Apr 9, 2015By 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

Dr. Brandon Bupp, D.C.NPI 1902949423

Title

Owner

Phone

(330) 336-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

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.

• Travis Morgan, D.C.

  • Chiropractor
  • Franklin, TN
  • NPI 1467782409
  Medicare reassignment Care Compare group NPD
• Jameson Thomas Russell, D.C.

  • Chiropractor
  • Franklin, TN
  • NPI 1508100363
  Medicare reassignment Care Compare group NPD
• Brandon D Bupp, D.C.

  • Chiropractor
  • Wadsworth, OH
  • NPI 1902949423
  NPD Authorized official
• Troy Naftzger, P.A.

  • Surgical Physician Assistant
  • Zanesville, OH
  • NPI 1831188069
  NPD
• Tricia N Bedrick, D.O.

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1043223860
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1265849228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GREAT OAKS TRL",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819430",
            "telephone_number": "330-336-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "SUITE 301",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-905-0120",
            "fax_number": "615-778-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH AND WELLNESS CENTER OF NASHVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BUPP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-336-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010891",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Diabetic Solutions LLC
• Advanced Diagnostic Imaging PC (Ankle and Foot Centers of Tennessee)
• Advanced Diagnostic Imaging, PC (Premier Foot & Ankle Centers of Tennessee)
• Advanced Diagnostic Imaging, PC (University Foot and Ankle Centers)
• Advanced Diagnostic Imaging, PC
• Advanced Medical Solutions, Inc.
• Advanced Neurosciences Institute Inc
• Advanced Pain Clinic, P.C.
• Advanced Rehabilitation Medicine LTD
• Advanced Wound Therapy-TN PLLC

• Physical Medicine & Rehabilitation Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.