Organization Active NPI

Bone and Joint Institute of Tennessee Inc

  • Orthopaedic Surgery Physician
  • Brentwood, TN
National Provider Identifier
1093479461
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BONE AND JOINT INSTITUTE OF TENNESSEE INC
Practice address
101 Creekside Xing Ste 1100
Brentwood, TN 37027-1080
Phone
(615) 791-2630
Fax
(615) 791-2639
NPI assigned
Oct 22, 2021
Organization subpart
Yes
Parent organization
BONE AND JOINT INSTITUTE OF TNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Angeline Van Utrecht
Title
Coo
Phone
(615) 791-2641

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Orthopaedic Trauma PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0801X

Addresses

Primary practice location

101 Creekside Xing Ste 1100
Brentwood, TN 37027-1080

Mailing address

3000 Edward Curd LN
Franklin, TN 37067-5791
Phone (615) 791-2630

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Location Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220314001208 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9234491259 Practice locations: Brentwood, TN

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bone Joint Institue of Ten4 organizations share this tax ID, including this one
Part of
Bone Joint Institue of Ten

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21476/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1093479461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EDWARD CURD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675791",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CREEKSIDE XING STE 1100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271080",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE AND JOINT INSTITUTE OF TENNESSEE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONE AND JOINT INSTITUTE OF TN",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "VAN UTRECHT",
        "authorized_official_first_name": "ANGELINE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-791-2641"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Location",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Creekside Xing Ste 1100",
            "city": "Brentwood",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370271080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.