Organization Active NPI

Bristol Orthopaedic Associates, P. C.

  • Orthopaedic Surgery Physician
  • Bristol, TN
National Provider Identifier
1023197605
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD0000008779 Issued in TN
Legal business name
BRISTOL ORTHOPAEDIC ASSOCIATES, P. C.
Practice address
320 Bristol West Blvd
Suite 2a
Bristol, TN 37620-8765
Phone
(423) 844-6414
Fax
(423) 968-1724
NPI assigned
Nov 3, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William A McIlwain, M.D.
Title
President
Phone
(423) 844-6414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD0000008779 TN Primary

Addresses

Primary practice location

320 Bristol West Blvd
Suite 2a
Bristol, TN 37620-8765

Mailing address

320 Bristol West Blvd
Suite 2a
Bristol, TN 37620-8765
Phone (423) 844-6414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1023197605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BRISTOL WEST BLVD",
            "address_2": "SUITE 2A",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376208765",
            "telephone_number": "423-844-6414",
            "fax_number": "423-968-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BRISTOL WEST BLVD",
            "address_2": "SUITE 2A",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376208765",
            "telephone_number": "423-844-6414",
            "fax_number": "423-968-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL ORTHOPAEDIC ASSOCIATES, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "MCILWAIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-844-6414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD0000008779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.