Active NPI
Joseph Bruce Eatherly, M.D.
- Specialist
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000013891
- Practice address
- 129 E Division Rd
Oak Ridge, TN 37830-6907 - Phone
- (865) 482-9633
- Fax
- (865) 482-9655
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000013891 | TN | Primary |
Addresses
Primary practice location
129 E Division Rd
Oak Ridge, TN 37830-6907
Mailing address
129 E Division Rd
Oak Ridge, TN 37830-6907
Phone (865) 482-9633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111018000700 | TN | Practitioner - Pathology | 9133124928 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Tennessee, HSC, College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tennessee Urology Associates, PLLC
Practice addresses (Care Compare)
800 Oak Ridge Tpke
A101
Oak Ridge, TN 37830-6927
Phone (865) 483-1093
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000013891 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Urology Associates, PLLC | Current | Accepting new patients | |
| Tennessee Urology Associates, PLLC | Current | Accepting new patients | |
| Pathology Medical Associates, PLLC | Specialist | Current | Accepting new patients |
Locations
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
800 Oak Ridge Tpke
Ste A101
Oak Ridge, TN 37830
Phone (865) 483-1093
129 E Division Rd
Oak Ridge, TN 37830
Phone (865) 482-3633
7557 Dannaher Dr
Ste 230
Powell, TN 37849
Phone (865) 938-5222
Organizations & group practices 3
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.
-
- Specialist
- Oak Ridge, TN
- NPI 1063421550
-
- Urology Physician
- Powell, TN
- NPI 1932318284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1295744753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 E DIVISION RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306907",
"telephone_number": "865-482-9633",
"fax_number": "865-482-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 E DIVISION RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306907",
"telephone_number": "865-482-9633",
"fax_number": "865-482-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATHERLY",
"first_name": "JOSEPH",
"middle_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000013891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
- East Tennessee Family Dentistry, LLC
- East Tennessee Oral & Maxillofacial Surgery, PC
- East Tennessee Orthodontics
- East Tennessee Pediatric Dentistry at Oak Ridgepllc.
- East Tennessee Pulmonary Associates PC
- Jeri B Echols, LPN
- Eckert Chiropractic Center
- Clark Raymond Eckert, D.C.
- Janet Edwards, AU.D.
- Elcm Oak Ridge Leasing LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.