Charlies Footcare & Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHARLIES FOOTCARE & MEDICAL SUPPLY INC.

Practice address

416 Medical Center Pkwy Ste C
Murfreesboro, TN 37129-2753

Phone

(615) 848-1381

Fax

(615) 848-0717

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judith Jacquelyn Bond, ABC/CO/BOCO/LO-FL.

Title

Owner

Phone

(615) 848-1381

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1497832489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MEDICAL CENTER PKWY STE C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292753",
            "telephone_number": "615-848-1381",
            "fax_number": "615-848-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MEDICAL CENTER PKWY STE C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292753",
            "telephone_number": "615-848-1381",
            "fax_number": "615-848-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIES FOOTCARE & MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-848-1381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABC/CO/BOCO/LO-FL."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452383",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "4080266",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akirah Chaney
• Keith Edward Chapman, D.D.S.
• Charis Hearts Inc.
• Charles R Tessier DO PC
• Charles T Wolohon, MD
• David Maurice Chatman, M.D.
• Ranchhodbhai L Chaudhary, M.D.
• Stephen Michael Chavez Matzel, LCSW
• E-Ling Cheah, PSY.D., H.S.P.
• Milred Carole Cheatham, R.D.

• Durable Medical Equipment & Medical Supplies in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.