Individual provider Active NPI

Sara Bomar, M.D.

  • General Practice Physician
  • Franklin, TN
National Provider Identifier
1356722755
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
40563 Issued in TN
Practice address
100 Covey Dr Ste 204
Franklin, TN 37067-5603
Phone
(615) 656-0589
Fax
(866) 250-4830
NPI assigned
Jun 11, 2015
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 40563 TN Primary

Addresses

Primary practice location

100 Covey Dr Ste 204
Franklin, TN 37067-5603

Mailing address

100 Covey Dr Ste 204
Franklin, TN 37067-5603
Phone (615) 656-0589

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160115000951 TN Order and Referring Only - Nuclear MedicinePractitioner - Nuclear Medicine 5991008484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40563TNMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1356722755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COVEY DR STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675603",
            "telephone_number": "615-656-0589",
            "fax_number": "866-250-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COVEY DR STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675603",
            "telephone_number": "615-656-0589",
            "fax_number": "866-250-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAR",
        "first_name": "SARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "40563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.