Matthew Reed Bumbalough, MSN, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000006738 Issued in TN

Practice address

3601 The Vanderbilt Clinic
Nashville, TN 37232-5100

Phone

(615) 322-3000

Fax

(615) 936-0605

NPI assigned

May 3, 2007

Last updated

Mar 21, 2022By 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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
• Vanderbilt Wilson County Hospital Hospital, Lebanon, TN, CCN 440193

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbumbalough19534@direct.vumc.org

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.

• Vanderbilt Health Clinicians, LLC

  • Hematology & Oncology Physician
  • Nashville, TN
  • NPI 1518726900
  NPD
• Vanderbilt University

  dba Vanderbilt Medical Group

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1285659706
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vanderbilt University Medical Center

  dba Vanderbilt Wilson County Hospital

  • General Acute Care Hospital
  • Lebanon, TN
  • NPI 1306889597
  Care Compare affiliation
• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1396882205
  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1609088731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325100",
            "telephone_number": "615-322-3000",
            "fax_number": "615-936-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBALOUGH",
        "first_name": "MATTHEW",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbumbalough19534@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372325100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Bulow Holdings, LLC
• Timothy Bulso
• Heather Bumbalough, RDN, LDN, NBC-HWC
• Allison Bumm
• Christian B Bumpous, LCDC
• Penelope Joy Bumpus, NP-C
• Alicia Ann Bunch Vargas, MSSW, LCSW, RPT
• Chelsey Jo Bunch, RN

• Family Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.