Springfield Neurology

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

40556 Issued in TN

Legal business name

SPRINGFIELD NEUROLOGY

Practice address

107 Tennessee St
Bolivar, TN 38008-1822

Phone

(615) 384-2411

NPI assigned

Nov 21, 2013

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd E Rutland, M.D.NPI 1942249206

Title

Owner

Phone

(615) 384-1740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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.

• Todd E Rutland, M.D.

  • Neurology Physician
  • Bolivar, TN
  • NPI 1942249206
  Medicare reassignment NPD Authorized official
• Jeffrey Carl Fosnes, M.D.

  • Specialist
  • Springfield, TN
  • NPI 1487609467
  NPD (past)

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1629408059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "380520190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TENNESSEE ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081822",
            "telephone_number": "615-384-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "RUTLAND",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-384-1740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "40556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merry Anna Snider, DNP
• Southern Express Pharmacy
• Olufemi E Soyinka, MD
• George Spanos, DO
• Stephen H Spring, LCSW
• Alicia Danielle Stanley
• Star Physical Therapy LP
• State of Tennessee (Hardeman County Health Department)
• State of Tennessee-Western Mental Health Institute
• Jessica Stephenson

• Neurology Physician in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.