Individual provider Active NPI

Bogdan Nowicki, MD

  • Obstetrics & Gynecology Physician
  • Franklin, TN
National Provider Identifier
1457408270
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0000047098 Issued in TN
Practice address
101 Forrest Crossing Blvd Ste 105B
Franklin, TN 37064-5402
Phone
(865) 383-0522
NPI assigned
Jan 4, 2007
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0000047098 TN Primary

Addresses

Primary practice location

101 Forrest Crossing Blvd Ste 105B
Franklin, TN 37064-5402

Mailing address

114 Governors Way
Brentwood, TN 37027-8932
Phone (615) 440-9837

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
I20110831000566 TN Practitioner - Obstetrics/Gynecology 1658541586 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000047098TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Wellness Clinic LLC CurrentSince Jul 22, 2025 Accepting new patients
Naomi Paschall,M.D., P.C. CurrentSince Oct 1, 2016 Accepting new patients
Prohealth Rural Health Services, Inc Past Accepting new patients

Locations

100 Covey Dr
Ste 204
Franklin, TN 37067
Phone (615) 790-4140

101 Forrest Crossing Blvd
Ste 105B
Franklin, TN 37064
Phone (615) 794-4226

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JABJDD/Endpoint/JABJDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1457408270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GOVERNORS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278932",
            "telephone_number": "615-440-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FORREST CROSSING BLVD STE 105B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645402",
            "telephone_number": "865-383-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWICKI",
        "first_name": "BOGDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "0000047098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.