Organization Active NPI

Nashville Bone and Joint PLLC

  • Orthopaedic Surgery Physician
  • Hermitage, TN
National Provider Identifier
1104815430
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NASHVILLE BONE AND JOINT PLLC
Practice address
302 Old Lebanon Dirt Rd FL 2
Hermitage, TN 37076-2386
Phone
(615) 391-4545
Fax
(615) 391-4546
NPI assigned
Oct 19, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Walter Scott Dube, M.D.NPI 1548259864
Title
Owner
Phone
(615) 391-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 31

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

View all 31

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040402001375 TN Part B Supplier - Clinic/Group Practice 4789677170 Receives reassigned benefits from 30 practitioners
Practice locations: Springfield, TN; Nashville, TN; Mt Juliet, TN; Lebanon, TN; Hermitage, TN; Goodlettsville, TN; Franklin, TN
O20100930020445 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4789677170 Practice locations: Hermitage, TN

National Provider Directory

National Provider Directory

Locations

302 Old Lebanon Dirt Rd
Ste 200
Hermitage, TN 37076
Phone (615) 467-4633

302 Old Lebanon Dirt Rd
Fl 2
Hermitage, TN 37076
Phone (615) 417-7334

302 Old Lebanon Dirt Rd
Ste 100
Hermitage, TN 37076

108 W Main St
Lebanon, TN 37087

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

NPPES NPI Registry

Primary practice location

302 Old Lebanon Dirt Rd FL 2
Hermitage, TN 37076-2386

Mailing address

302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391
Phone (615) 391-4545

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
4066914MedicaidTN
4066914OtherTNBCBS OF TN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2026.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1104815430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD STE 200",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762391",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD FL 2",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762386",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE BONE AND JOINT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "DUBE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-391-4545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4066914",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4066914",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.