BRISTOL ORTHOPAEDIC ASSOCIATES, P. C. (NPI# 1023197605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023197605 |
| Entity Type | Organization |
| Organization Name | BRISTOL ORTHOPAEDIC ASSOCIATES, P. C. |
| Practice Address |
320 Bristol West Blvd Suite 2a Bristol TN 37620-8765 |
| Practice Telephone | 4238446414 |
| Practice Fax Number | 4239681724 |
| Mailing Telephone | 4238446414 |
| Mailing Fax Number | 4239681724 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | WILLIAM A MCILWAIN (PRESIDENT) |
| Authorized Official Telephone | 4238446414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD0000008779 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
320 BRISTOL WEST BLVD SUITE 2A |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-8765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972528800 | Bristol Spine Center, LLC | Clinic/Center | 320 Bristol West Blvd, Suite 1a, Bristol, TN 37620-8765 | 2006-07-13 |
| 1164824983 | Agilitas Usa, Inc | Clinic/Center | 320 Bristol West Blvd, Suite 2a, Bristol, TN 37620-8772 | 2014-09-24 |
| 1477845444 | Samantha Jo Herriott | Obstetrics & Gynecology | 320 Bristol West Blvd, Ste 2c, Bristol, TN 37620-8772 | 2011-05-10 |
| 1669688909 | Jimmy C. Brasfield, PC | Neurological Surgery | 320 Bristol West Blvd, Suite 2b, Bristol, TN 37620-8765 | 2007-05-15 |
| 1306058375 | Frederick W Terry | Physical Medicine & Rehabilitation | 320 Bristol West Blvd, Suite 2b, Bristol, TN 37620-8765 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619820 | Jon Slaven | Orthopaedic Surgery | 260 Midway Medical Park Ste 100, Bristol, TN 37620-1722 | 2019-09-30 |
| 1093133845 | Natalie Huntington Vaughn | Orthopaedic Surgery | 1 Medical Park Blvd Ste 300e, Bristol, TN 37620-7497 | 2014-03-30 |
| 1437492907 | David C Carver | Orthopaedic Surgery | 340 Steeles Rd, Bristol, TN 37620 | 2013-04-02 |
| 1841562824 | C David Bomar | Orthopaedic Surgery | 232 Maxine Rd, Bristol, CT 06010-2356 | 2012-02-06 |
| 1740290857 | Chang Song Choi | Orthopaedic Surgery | 46 Goodwin Street, Bristol, CT 06010 | 2006-08-09 |
| 1588609242 | Fred R Knickerbocker | Orthopaedic Surgery | 260 Midway Medical Park, Suite 100, Bristol, TN 37620-1721 | 2006-06-18 |
| 1104800788 | Bristol Orthopaedics LLC | Orthopaedic Surgery | 641 Clark Ave, Bristol, CT 06010-4068 | 2005-12-06 |
| 1245225465 | Timothy G Mcgarry | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202-4357 | 2005-09-14 |
| 1518508993 | Watauga Orthopaedics, Plc | Orthopaedic Surgery | 340 Steeles Rd, Bristol, TN 37620 | 2019-10-07 |
| 1588104335 | Timothy G. Mcgarry, Md, Pllc | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202 | 2017-02-27 |
| Find all providers in BRISTOL | ||||
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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.