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

Last updated

Jan 28, 2023By 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

Julie BumpusNPI 1013497585

Title

Owner

Phone

(734) 730-8445

Specialties & licenses 2

Addresses

Other names 1

• B & G Clinical Services INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Anne Bumpus X, FNP-BC

  • Family Nurse Practitioner
  • Dexter, MI
  • NPI 1013497585
  NPD Authorized official

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

{
    "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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• Juliet Webb Ballard
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• Family Nurse Practitioner in Dexter, MI
• Providers in Dexter, MI by specialty
• 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.