Individual provider Active NPI

Paul Joseph Somers Jr., D.P.M.

  • Podiatrist
  • Nashville, TN
National Provider Identifier
1629033758
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM0000000199 Issued in TN
Practice address
311 White Bridge Pike
Nashville, TN 37209-3208
Phone
(615) 356-3249
Fax
(615) 356-3254
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM0000000199 TN Primary
Podiatrist 213E00000X 07000408A IN

Addresses

Primary practice location

311 White Bridge Pike
Nashville, TN 37209-3208

Mailing address

311 White Bridge Pike
Nashville, TN 37209-3208
Phone (615) 356-3249

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000600 TN Practitioner - Podiatry 7416028840 Practice locations: Nashville, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000408AINMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629033758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WHITE BRIDGE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093208",
            "telephone_number": "615-356-3249",
            "fax_number": "615-356-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WHITE BRIDGE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093208",
            "telephone_number": "615-356-3249",
            "fax_number": "615-356-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000199",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000408A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.