Chad Stephen Boomershine, M.D., PH.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD0000038402 Issued in TN

Practice address

Suite 2501 TVC
1301 22ND Ave South
Nashville, TN 37232-0001

Phone

(615) 322-1900

Fax

(615) 322-6649

NPI assigned

Jan 4, 2007

Last updated

Jul 10, 2012By 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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• Cordova Pain Specialists, PLLC

  dba NorthStar Pain Management

  • Pain Medicine Physician
  • Cordova, TN
  • NPI 1437565900
  Medicare reassignment NPD
• Central Seton Saint Thomas Health Services

  • Clinic/Center
  • Nashville, TN
  • NPI 1285664532
  NPD (past)
• Vanderbilt University Medical Center

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1457408304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 2501 TVC",
            "address_2": "1301 22ND AVE SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-1900",
            "fax_number": "615-322-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 2501 TVC",
            "address_2": "1301 22ND AVE SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-1900",
            "fax_number": "615-322-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMERSHINE",
        "first_name": "CHAD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "MD0000038402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Ann Booker, PT
• Tamela P Booker, M.D.
• Tara Booker
• James A Bookman, MD
• Mira Bookout
• Jeffrey Boon
• Whitney Boon
• Anita Jean Boone
• John M Boone Jr., M.D.
• Mark S Boone, LAC, CMTPT

• Rheumatology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Rheumatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.