Provider Demographics
NPI:1215320650
Name:SEVEN SPRINGS AND SPORTS MEDICINE
Entity type:Organization
Organization Name:SEVEN SPRINGS AND SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:615-370-9992
Mailing Address - Street 1:317 SEVEN SPRINGS WAY
Mailing Address - Street 2:STE 101
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4575
Mailing Address - Country:US
Mailing Address - Phone:615-370-9992
Mailing Address - Fax:615-370-9665
Practice Address - Street 1:1009 N LOCUST AVE
Practice Address - Street 2:STE B
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-2746
Practice Address - Country:US
Practice Address - Phone:931-244-7181
Practice Address - Fax:931-461-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty