NPIMap

Organization Active NPI

Bellevue Medical Group, LLC

Doing business as West End Medical Group

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1487851044
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BELLEVUE MEDICAL GROUP, LLC
Doing business as
West End Medical Group
Practice address
4230 Harding Rd
Suite 530 Heart Institute
Nashville, TN 37205-2013
Phone
(615) 297-6006
Fax
(615) 298-6778
NPI assigned
Jun 28, 2007
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
James P. Houser
Title
President and Ceo
Phone
(615) 284-6861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4230 Harding Rd
Suite 530 Heart Institute
Nashville, TN 37205-2013

Mailing address

PO Box 504556
Saint Louis, MO 63150-0001
Phone (615) 297-6006

Other identifiers 3

IdentifierTypeStateIssuer
DG9953OtherTNRAILROAD MEDICARE
4028930OtherTNBLUE CROSS BLUE SHIELD
3374489MedicaidTN

Other names 1

  • West End Medical Group Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2400 Patterson St
Ste 119
Nashville, TN 37203
Phone (615) 329-5029

4230 Harding Pike
Ste 530
Nashville, TN 37205
Phone (615) 222-5500

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1487851044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504556",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "615-297-6006",
            "fax_number": "615-298-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING RD",
            "address_2": "SUITE 530 HEART INSTITUTE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-297-6006",
            "fax_number": "615-298-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "615-284-6861"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG9953",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4028930",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374489",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.