Bader M Al Enezi

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

04166 Issued in CO

Practice address

3100 W End Ave
Suite 800
Nashville, TN 37203-1320

Phone

(615) 345-5400

Fax

(888) 468-6511

NPI assigned

Nov 15, 2006

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Remote Neuromonitoring Physicians ,PC

  • Neurology Physician
  • Brentwood, TN
  • NPI 1124253075
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1699847244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD",
            "address_2": "SUITE 15",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354938",
            "telephone_number": "800-348-4565",
            "fax_number": "888-468-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W END AVE",
            "address_2": "SUITE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031320",
            "telephone_number": "615-345-5400",
            "fax_number": "888-468-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL ENEZI",
        "first_name": "BADER",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "04166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF SURGICAL ASSISTANTS",
            "identifier": "04166",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Akpinar
• Daniel Akyeampong
• Asad Al Aboud, M.D.
• Ziad Al Adas, MD
• Ahmed Al Bayati, MD
• Hala Al Kallas
• Hebah Al Khateeb, MD
• Husein Al Obaidy
• Malek H Al Omary, MD
• Layana Al-Halbouni, M.D.

• Surgical Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Surgical Assistant in Tennessee

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