Portland Wellness Center PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000031162 Issued in TN

Legal business name

PORTLAND WELLNESS CENTER PLLC

Practice address

105 E Market St
Portland, TN 37148-1228

Phone

(615) 325-5000

Fax

(615) 323-8400

NPI assigned

May 12, 2016

Last updated

May 12, 2016By 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. Verna Bain, M.DNPI 1396816997

Title

Owner

Phone

(615) 445-9133

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Verna Bain, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Portland, TN
  • NPI 1396816997
  NPD (past) Authorized official

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1669828315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MARKET ST",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481228",
            "telephone_number": "615-325-5000",
            "fax_number": "615-323-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MARKET ST",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481228",
            "telephone_number": "615-325-5000",
            "fax_number": "615-323-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "VERNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-445-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000031162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Nursing & Rehab Center, Inc. (Highland Manor Nursing & Rehab Center)
• Portland Prescription Shop PLLC
• Portland Primary Care LLC
• Portland Primary Care, LLC
• Portland Surgical, LLC (Portland Surgical)
• Precision Chiropractic of Portland
• Premise Health of Tennessee Medical PC (Unipres - Portland)
• Marlys K Proctor, P.T.A.
• Progressivehealth Healthspot
• Ralph H. Ruckle, MD

• Internal Medicine Physician in Portland, TN
• Providers in Portland, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.