Eric B Bouldin, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

713 Issued in TN

Practice address

108 N Spring St
Manchester
Manchester, TN 37355-1563

Phone

(931) 728-3988

Fax

(931) 728-6530

NPI assigned

Jun 17, 2011

Last updated

Jun 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144

Merit-based Incentive Payment System (MIPS)

Final score

68.33 of 100Reported as individual

Quality

36.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middle Tennessee Foot Associates P C

  • Foot & Ankle Surgery Podiatrist
  • Manchester, TN
  • NPI 1437306198
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vanderbilt Coffee Hospital, LLC

  dba Vanderbilt Tullahoma-Harton Hospital

  • General Acute Care Hospital
  • Tullahoma, TN
  • NPI 1831798719
  Care Compare affiliation

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1316232382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SPRING ST",
            "address_2": "MANCHESTER",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551563",
            "telephone_number": "931-728-3988",
            "fax_number": "931-728-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SPRING ST",
            "address_2": "MANCHESTER",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551563",
            "telephone_number": "931-728-3988",
            "fax_number": "931-728-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULDIN",
        "first_name": "ERIC",
        "middle_name": "B",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Normand Blackwood, LPC-MHSP
• Bledsoe Falls Emergency Physicians LLC
• Tina Marie Bond, RN
• Bonnesant Enterprises, LLC (Doctors Associates Home Health)
• Cristi Lee Bouldin, DPM
• Macey Elyse Bowman
• Ronald Bradford, D.PH.
• Robin Michael Brady, OD
• Brandon Medical Group PLLC
• Albert R Brandon Jr., DO

• Foot & Ankle Surgery Podiatrist in Manchester, TN
• Providers in Manchester, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.