Boomershine Wellness Centers, PLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

38402 Issued in TN

Legal business name

BOOMERSHINE WELLNESS CENTERS, PLC

Practice address

330 Mallory Station Rd
Suite E-15
Franklin, TN 37067-2859

Phone

(615) 435-3235

Fax

(615) 435-3275

NPI assigned

May 22, 2011

Last updated

Nov 21, 2011By 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. Chad Stephen Boomershine, M.D., PH.D.

Title

Chief Manager

Phone

(615) 435-3235

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1306022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1790078962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MALLORY STATION RD",
            "address_2": "SUITE E-15",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672859",
            "telephone_number": "615-435-3235",
            "fax_number": "615-435-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MALLORY STATION RD",
            "address_2": "SUITE E-15",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672859",
            "telephone_number": "615-435-3235",
            "fax_number": "615-435-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOMERSHINE WELLNESS CENTERS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-22",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "BOOMERSHINE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "615-435-3235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "38402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bone and Joint Institute of Tennessee Inc
• Bone and Joint Institute of Tennessee Surgery Center LLC
• Christopher Boner
• Tina Michelle Boni, PSY.D.
• Tracy Booher
• Tyler Ross Boone, OD
• Alexis Nicole Boorde, ATC
• Taylor Andrew Borck, LMFT (TEMP)
• Lucia Bordiuk, MED
• Meghan Clare Bosse, OTR/L

• Rheumatology Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Rheumatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.