Boston Medical Group Tennessee L.L.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4878 Issued in TN

Legal business name

BOSTON MEDICAL GROUP TENNESSEE L.L.C.

Practice address

1916 Patterson St
Suite 715
Nashville, TN 37203

Phone

(615) 562-4578

Fax

(423) 949-3992

NPI assigned

Dec 19, 2014

Last updated

Dec 19, 2014By 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

Joan Simpson

Title

Director of CQRM

Phone

(615) 562-4578

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1891193041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23275 S POINTE DRIVE",
            "address_2": "SUITE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "615-562-4578",
            "fax_number": "423-949-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 715",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-562-4578",
            "fax_number": "423-949-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL GROUP TENNESSEE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR OF CQRM",
        "authorized_official_telephone_number": "615-562-4578"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "TN",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Bossung, ATC, MED
• Allyson Michaela Bost, APRN
• Meredith Lynn Bostian
• Adwoa Bostick, NP-C
• Jon Bostick
• Barry Boston, CRNA
• John Ethan Boston, MSN, AGACNP-BC
• Katie Carr Bostrom, APN, RNC, NNP
• Donald Louis Boswell, MSSW
• Jason Charles Boswell, PHARM.D.

• Urology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.