| Badru, Inc | |
|
521 W Main St Lebanon TN 37087-3460 | |
| (615) 547-6200 | |
| (615) 547-6202 |
| Full Name | Badru, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 521 W Main St, Lebanon, Tennessee |
| Authorized Official Name and Position | Alexander O Badru (MD/OWNER OF BADRU, INC) |
| Authorized Official Contact | 6155476200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Badru, Inc Po Box 1214 Lebanon TN 37088-1214 Ph: (615) 547-6200 | Badru, Inc 521 W Main St Lebanon TN 37087-3460 Ph: (615) 547-6200 |
| NPI Number | 1073781217 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 5496830341 |
|---|---|
| Medicare Enrollment ID | O20080317000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073781217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41138 (Tennessee) | Primary |
| Provider Name | Alexander Olatunde Badru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942255575 PECOS PAC ID: 1153327747 Enrollment ID: I20061120000126 |
| Provider Name | Katherine Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912388208 PECOS PAC ID: 7810290335 Enrollment ID: I20160119002548 |
| Provider Name | Kalie Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922559095 PECOS PAC ID: 9739445800 Enrollment ID: I20171106001097 |
| Provider Name | Kimberly Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881197457 PECOS PAC ID: 2365797800 Enrollment ID: I20180625000598 |
| Provider Name | Megan Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992286173 PECOS PAC ID: 3274886874 Enrollment ID: I20181029002811 |
Employment & Assessment Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1037 W Main St, Suite A, Lebanon, TN 37087 Phone: 615-453-3567 Fax: 615-453-4031 | |
Middle Tennessee And Adolescent Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Physicians Way, Suite 200, Lebanon, TN 37090 Phone: 615-449-5611 Fax: 615-443-0571 | |
Concord Infectious Disease Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1419 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-420-5390 Fax: 615-549-1532 | |
Lebanon Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-443-2500 | |
Robert J Jantz Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 Cadet Ct, Lebanon, TN 37087 Phone: 615-449-2472 Fax: 615-449-4709 | |
Cumberland Pediatric Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-1252 Fax: 615-453-1286 |