Organization Active NPI

James D Bomboy Jr MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Nashville, TN
National Provider Identifier
1679772685
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
8197 Issued in TN
Legal business name
JAMES D BOMBOY JR MD PC
Practice address
2000 Church St
Nashville, TN 37236-0002
Phone
(615) 284-6399
Fax
(615) 217-8525
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. James D Bomboy Jr., M.D.
Title
Owner
Phone
(615) 292-8144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 8197 TN Primary

Addresses

Primary practice location

2000 Church St
Nashville, TN 37236-0002

Mailing address

403 Lynnwood Blvd
Nashville, TN 37205-3434
Phone (615) 292-8144

Other identifiers 2

IdentifierTypeStateIssuer
15779OtherTNBLUE CROSS
3382592MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1679772685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LYNNWOOD BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053434",
            "telephone_number": "615-292-8144",
            "fax_number": "615-217-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHURCH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372360002",
            "telephone_number": "615-284-6399",
            "fax_number": "615-217-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D BOMBOY JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "BOMBOY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-292-8144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TN",
            "license": "8197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "15779",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382592",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.