John C Bomar Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

026130 Issued in TN

Practice address

1044 State Hwy 48
Cumberland Furnace, TN 37051

Phone

(800) 341-7432

Fax

(615) 789-6596

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

• Committed to Recovery LLC

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1487435426
  Medicare reassignment NPD PSYCHIATRY · TN
• MSHN Enterprises LLC

  • Community/Behavioral Health Agency
  • Memphis, TN
  • NPI 1467092932
  Medicare reassignment NPD TN
• Athena Consulting and Psychological Services, PLLC

  • Clinical Psychologist
  • Nashville, TN
  • NPI 1336292465
  NPD PSYCHIATRY
• Committed to Recovery LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Memphis, TN
  • NPI 1538056833
  NPD
• Neil Bomar MD PLLC

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1053615229
  NPD (past) PSYCHIATRY
• Youth Town of Tennessee, Inc.

  • Substance Abuse Rehabilitation Facility
  • Pinson, TN
  • NPI 1902996721
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

• Neil Bomar Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2018.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1922029586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MORNING MIST LN STE 1",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648657",
            "telephone_number": "901-240-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 STATE HWY 48",
            "city": "CUMBERLAND FURNACE",
            "state": "TN",
            "postal_code": "37051",
            "telephone_number": "800-341-7432",
            "fax_number": "615-789-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAR",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "026130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEIL",
            "last_name": "BOMAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leigh Ellen Bruce, LPC-MHSP
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• Megan Garrett Hermes, LPC-MHSP
• Erin Brooke Jones, LPN
• Milestones, LLC

• All providers in Cumberland Furnace, TN
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.