James D Bomboy Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8197 Issued in TN

Practice address

2000 Church St
Ip Hospitalist
Nashville, TN 37236-0002

Phone

(615) 284-4672

Fax

(615) 284-5752

NPI assigned

Oct 12, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1720177827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-284-4672",
            "fax_number": "615-284-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHURCH ST",
            "address_2": "IP HOSPITALIST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372360002",
            "telephone_number": "615-284-4672",
            "fax_number": "615-284-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBOY",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "8197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4273099",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520588",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382592",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria A Bolton, PT
• Megan Scott Bolton, DPT
• Grace Bomar, MMFT, TLMFT
• Kelly Jo Bombardiere
• Bombo Technology LLC
• Deborah Ann Bomford, ARNP
• Hannah Bomholt, LMSW
• Swaroop Bommareddi, M.D.
• Emily Jo Bommarito
• Michael Bommarito

• Internal Medicine Physician in Nashville, TN
• Providers in Nashville, 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 Jan 8, 2015; 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.