Boro Medical Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BORO MEDICAL CLINIC PLLC

Practice address

517 Cason LN Ste C
Murfreesboro, TN 37128-4901

Phone

(615) 785-8288

Fax

(615) 468-8849

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Lydia Seibert, PANPI 1487164703

Title

Owner/PA

Phone

(615) 785-8288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia Grace Seibert, PA-C

  • Physician Assistant
  • Tullahoma, TN
  • NPI 1487164703
  Medicare reassignment Authorized official
• Muhamed Salah Faour, MD

  • Internal Medicine Physician
  • Shelbyville, TN
  • NPI 1982672507
  Medicare reassignment NPD
• Erin M Nolin, FNP

  • Family Nurse Practitioner
  • Biddeford, ME
  • NPI 1740833441

  TN

  Medicare reassignment NPD
• Lacy Young

  • Family Nurse Practitioner
  • Smyrna, TN
  • NPI 1194506568
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1629630298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 VETERANS PKWY STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286432",
            "telephone_number": "615-785-8288",
            "fax_number": "615-468-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CASON LN STE C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284901",
            "telephone_number": "615-785-8288",
            "fax_number": "615-468-8849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Veterans Pkwy Ste F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371286432",
            "country_code": "US",
            "telephone_number": "615-785-8288",
            "fax_number": "615-468-8849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BORO MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "SEIBERT",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER/PA",
        "authorized_official_telephone_number": "615-785-8288",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rana Lynn Boparai, LMFT
• Laura J Born, MD
• Shayla Born
• Boro Chiropractic PLLC
• Boro Holistic Health
• Borolife Physical Therapy & Wellness
• Jennifer Borowski, PT,DPT
• Wanda Anne Boss, APRN, BC
• Vivian Bossong, MSRD, LDN, CDCES
• Zakaria M Botros

• Family Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.