Ingram Co

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

31548 Issued in TN

Legal business name

INGRAM CO

Practice address

367 Riverside Dr
Franklin, TN 37064-8984

Phone

(615) 946-2730

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Jack Bucarat

Title

Ceo

Phone

(615) 946-2730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1578819033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 RIVERSIDE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648984",
            "telephone_number": "615-946-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 RIVERSIDE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648984",
            "telephone_number": "615-946-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "BUCARAT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-946-2730"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TN",
            "license": "31548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Step Foot & Ankle Care PC
• Independent Physical Therapy
• Independent Physical Therapy LLC
• Independent Physical Therapy LLC
• Lytrice Ann Ingraham, LMT
• Elisa Shawann Ingram, BCBA, LBA
• Inhome Recovery LLC
• Lori Weiss Inkrot, LPC, PROVISIONAL
• Innova Medical PLLC
• Innovative Medical Solutions, PLLC

• Adolescent Medicine (Family Medicine) Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Adolescent Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.