Active NPI
Bain Complete Wellness LLC.
Doing business as Bain Complete Wellness
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME115880
- Legal business name
- BAIN COMPLETE WELLNESS LLC.
- Doing business as
- Bain Complete Wellness
- Practice address
- 10311 Cross Creek Blvd Ste E
Tampa, FL 33647-2989 - Phone
- (813) 574-2460
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy F. Bain, DC
- Title
- President
- Phone
- (813) 907-9898
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8562 | FL | |
| Family Medicine Physician | 207Q00000X | ME115880 | FL | Primary |
| Physical Therapist | 225100000X | PT20198 | FL |
Addresses
Primary practice location
10311 Cross Creek Blvd Ste E
Tampa, FL 33647-2989
Mailing address
10311 Cross Creek Blvd Ste E
Tampa, FL 33647-2989
Phone (813) 574-2460
Other practice location 1
2901 Busch Lake Blvd
Tampa, FL 33614-1860
Phone (813) 936-7979
Other names 1
- Bain Complete Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10311 Cross Creek Blvd
Ste E
Tampa, FL 33647
Phone (813) 574-2460
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tampa, FL
- NPI 1538388566
-
- Physical Therapist
- Tampa, FL
- NPI 1639408149
-
- Chiropractor
- Tampa, FL
- NPI 1336308931
-
- Physician Assistant
- Tampa, FL
- NPI 1770764516
-
- Physician Assistant
- Plant City, FL
- NPI 1164654968
-
- Physician Assistant
- Wesley Chapel, FL
- NPI 1083123509
-
- Physical Therapist
- Wesley Chapel, FL
- NPI 1114475134
-
- Chiropractor
- Gibsonia, PA
- NPI 1700384633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677715200000",
"number": "1376889519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10311 CROSS CREEK BLVD STE E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472989",
"telephone_number": "813-574-2460",
"fax_number": "813-949-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10311 CROSS CREEK BLVD STE E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472989",
"telephone_number": "813-574-2460"
}
],
"practiceLocations": [
{
"address_1": "2901 Busch Lake Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336141860",
"country_code": "US",
"telephone_number": "813-936-7979",
"fax_number": "813-936-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BAIN COMPLETE WELLNESS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A",
"authorized_official_last_name": "BAIN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-907-9898",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8562",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME115880",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20198",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bain Complete Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bain Complete Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
- Baim of Gilead Healthcare Services Inc.
- Isaac Baime, DPT
- Bain Complete Wellness LLC
- Bain Complete Wellness LLC (Complete Injury and Rehab)
- Bain Complete Wellness LLC
- Bain de Vie Cory Lake Isle LLC
- Bain Family Chiropractic Inc (Complete Injury and Rehab)
- Bain Family Chiropractic Inc. (Bain Complete Wellness)
- Andrew Joseph Bain, MD
- Timothy Fillmore Bain, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.