Organization Active NPI

Hermitage Chiropractic and Rehabilitation PLLC

  • Chiropractor
  • Hermitage, TN
National Provider Identifier
1992126601
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HERMITAGE CHIROPRACTIC AND REHABILITATION PLLC
Practice address
3441 Lebanon Pike
Suite 117
Hermitage, TN 37076-2097
Phone
(615) 871-9000
Fax
(615) 871-9018
NPI assigned
Dec 23, 2013
Last updated
Dec 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gregory Bobo, D.C.NPI 1710277389
Title
Owner/Operator
Phone
(615) 871-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3441 Lebanon Pike
Suite 117
Hermitage, TN 37076-2097

Mailing address

3441 Lebanon Pike
Suite 117
Hermitage, TN 37076-2097
Phone (615) 871-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140509000099 TN Part B Supplier - Clinic/Group Practice 5890928238 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, TN

National Provider Directory

National Provider Directory

Locations

3441 Lebanon Pike
Ste 117
Hermitage, TN 37076
Phone (615) 871-9000

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1992126601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 LEBANON PIKE",
            "address_2": "SUITE 117",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762097",
            "telephone_number": "615-871-9000",
            "fax_number": "615-871-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 LEBANON PIKE",
            "address_2": "SUITE 117",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762097",
            "telephone_number": "615-871-9000",
            "fax_number": "615-871-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE CHIROPRACTIC AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "615-871-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.