Individual provider Active NPI

Andrew S Bae, DO

  • Orthopaedic Surgery Physician
  • Nashville, TN
National Provider Identifier
1083109698
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5777 Issued in TN
Practice address
2400 Patterson St Ste 300
Nashville, TN 37203-1558
Phone
(615) 342-6300
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A20669 CA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 20A20669 CA
Orthopaedic Surgery Physician 207X00000X 5777 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 300
Nashville, TN 37203-1558

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3171

Other practice location 1

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone (858) 554-7993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241007002815 TN Practitioner - Orthopedic Surgery 8527421379 Reassigns benefits to 1 organization
I20250828000553 NC Practitioner - Orthopedic Surgery 8527421379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Campbell Univ School of Osteopathic Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
DLP Wilson Physician Practices LLC 37 clinicians
Comprehensive Rehab of Wilson, Inc. 115 clinicians

Practice addresses (Care Compare)

1700 Tarboro St W
Suite 103
Wilson, NC 27893-3481
Phone (252) 399-5312

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

Hospital & facility affiliations

  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A20669CAMDOrthopaedic Surgery Physician
5777TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine, PLC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
DLP Wilson Physician Practices LLC Orthopaedic Surgery CurrentSince Sep 1, 2025 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Sep 1, 2025 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

1700 Tarboro St W
Ste 103
Wilson, NC 27893
Phone (252) 293-9898

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

394 Harding Pl
Ste 100
Nashville, TN 37211
Phone (615) 234-0460

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2004 Hayes St
Ste 450
Nashville, TN 37203
Phone (615) 515-4000

2400 Patterson St
Ste 300
Nashville, TN 37203
Phone (615) 342-2600

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

300 Stonecrest Blvd
Ste 200
Smyrna, TN 37167
Phone (615) 220-4747

545 Stonecrest Pkwy
Smyrna, TN 37167
Phone (615) 220-3720

100 Northcrest Dr
Bldg 200
Springfield, TN 37172

100 Northcrest Dr
Ste 221
Springfield, TN 37172
Phone (615) 698-4950

Interoperability endpoints

  • Direct secure messaging: andrew.bae.1@9600.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1083109698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031558",
            "telephone_number": "615-342-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 N Torrey Pines Rd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371035",
            "country_code": "US",
            "telephone_number": "858-554-7993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAE",
        "first_name": "ANDREW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A20669",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "20A20669",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "5777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.