B & G Wellness Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

B & G WELLNESS INC

Practice address

4848 Gregory Rd Ste a
Dexter, MI 48130-9628

Phone

(734) 726-5421

Fax

(949) 543-2300

NPI assigned

Sep 9, 2020

Organization subpart

No

Name

Julie BumpusNPI 1013497585

Title

Owner

Phone

(734) 730-8445

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Anne Bumpus X, FNP-BC

  • Family Nurse Practitioner
  • Dexter, MI
  • NPI 1013497585

  Family

  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

• B & G Clinical Services INC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2023.

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674864000000",
    "number": "1962017780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 GREGORY RD STE A",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309628",
            "telephone_number": "734-726-5421",
            "fax_number": "949-543-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 GREGORY RD STE A",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309628",
            "telephone_number": "734-726-5421",
            "fax_number": "949-543-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & G WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "BUMPUS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-730-8445"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B & G Clinical Services INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "B & G Clinical Services INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Dexter, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.