| Braxton Medical Clinic, Llc | |
|
1410 Kensington Square Ct Ste 103 Murfreesboro TN 37130-6902 | |
| (615) 900-1659 | |
| (615) 912-9997 |
| Full Name | Braxton Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1410 Kensington Square Ct Ste 103, Murfreesboro, Tennessee |
| Authorized Official Name and Position | John George Tsibu (C.E.O) |
| Authorized Official Contact | 6159001659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Braxton Medical Clinic, Llc 1410 Kensington Square Ct Ste 103 Murfreesboro TN 37130-6902 Ph: (615) 900-1659 | Braxton Medical Clinic, Llc 1410 Kensington Square Ct Ste 103 Murfreesboro TN 37130-6902 Ph: (615) 900-1659 |
| NPI Number | 1780281527 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/22/2021 |
| Medicare PECOS PAC ID | 4981017753 |
|---|---|
| Medicare Enrollment ID | O20210115001946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780281527 | NPI | - | NPPES |
| Q018514 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | John G Tsibu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861899304 PECOS PAC ID: 4981922549 Enrollment ID: I20150409002562 |
Family Practice Partners, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 E Bell St, Murfreesboro, TN 37130 Phone: 615-890-9191 Fax: 615-890-2200 | |
Charles T Wolohon, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Williams Dr, Ste 202, Murfreesboro, TN 37129 Phone: 615-849-4006 | |
David E Ours Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 N Highland Ave, Murfreesboro, TN 37130 Phone: 615-895-2527 | |
Genesys Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1818 Ward Dr, Murfreesboro, TN 37129 Phone: 615-225-1990 Fax: 615-225-1995 | |
Med Point At Walter Hill Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6309 Lebanon Rd, Murfreesboro, TN 37129 Phone: 615-410-9360 Fax: 615-893-8943 | |
Twin Oaks Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 602 E Clark Blvd, Murfreesboro, TN 37130 Phone: 615-494-3202 | |
J. Chris Beckman Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Highland Terrace, Suite # E, Murfreesboro, TN 37130 Phone: 615-893-8885 Fax: 615-893-8142 |