BRAY FAMILY HEALTH AND WELLNESS, LLC (NPI# 1750906335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750906335 |
Entity Type | Organization |
Organization Name | BRAY FAMILY HEALTH AND WELLNESS, LLC |
Practice Address |
35 Spivey St Red Boiling Springs TN 37150-2078 |
Practice Telephone | 6156997425 |
Practice Fax Number | 6156997427 |
Mailing Telephone | 6156997425 |
Mailing Fax Number | 6156997427 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-08-28 |
Authorized Official Name | BEVERLY J COLTER (OFFICE MANAGER) |
Authorized Official Telephone | 6156997425 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
35 SPIVEY ST |
City | RED BOILING SPRINGS |
State | TN |
Zip Code | 37150-2078 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255983946 | Shalena Natasha Bray | Nurse Practitioner | 35 Spivey St, Red Boiling Springs, TN 37150-2078 | 2019-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295985992 | Martin Family Healthcare LLC. | Physician Assistant | 120 Market St., Red Boiling Springs, TN 37150 | 2008-09-30 |
1669533345 | Lanny R Hudson | Pharmacist | 126 Market Street, Red Boiling Springs, TN 37150 | 2006-12-13 |
1467483164 | Edna Lynn Woodard | Nurse Practitioner | 165 Dale Street, Red Boiling Springs, TN 37150 | 2006-07-05 |
1033269576 | Carolyn Virginia Whitaker | Nurse Practitioner | 718 Lafayette Rd, Red Boiling Springs, TN 37150-2021 | 2007-01-10 |
1619185428 | Frank T Rutherford Memorial Hospital, Inc | Clinic/Center | 718 Lafayette Rd, Red Boiling Springs, TN 37150-2021 | 2007-05-18 |
1174160006 | R-evolution Health | Family Medicine | 165 Dale St, Red Boiling Springs, TN 37150-2102 | 2019-12-10 |
1508488800 | 3 Ple O LLPc | Family Medicine | 165 Dale St, Red Boiling Springs, TN 37150-2102 | 2020-05-11 |
1114571627 | Red Boiling Springs Tn Opco LLC | Respite Care | 309 Main St, Red Boiling Springs, TN 37150-2149 | 2019-08-01 |
1376106351 | Macon Care Center LLC | Skilled Nursing Facility | 309 Main St, Red Boiling Springs, TN 37150-2149 | 2019-04-16 |
1427428101 | Clifton Lee Hackett | Physical Therapy Assistant | 309 Main St, Red Boiling Springs, TN 37150-2149 | 2015-10-06 |
Find all providers in zip 37150 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780281527 | Braxton Medical Clinic, LLC | Clinic/Center | 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 | 2020-10-05 |
1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
1700411592 | Fentress Family Care LLC | Clinic/Center | 1010 Old Highway 127 S, Jamestown, TN 38556-5648 | 2020-03-11 |
1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
Find all providers with the same taxonomy |
City | RED BOILING SPRINGS |
Zip Code | 37150 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.