Paul A Broadstone, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

8507 Issued in TN

Practice address

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127

Phone

(423) 756-6623

Fax

(423) 648-8084

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Spine Surgery Associates, P.C.

  • Orthopaedic Surgery of the Spine Physician
  • Chattanooga, TN
  • NPI 1215087564
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1740255116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213127",
            "telephone_number": "423-756-6623",
            "fax_number": "423-648-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213127",
            "telephone_number": "423-756-6623",
            "fax_number": "423-648-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADSTONE",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": "8507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brinker, RN
• Kenneth A Brinn, M.D.
• Stacey Marie Bristol
• Michael Brit
• William Michael Britt Jr.
• Erin Brock
• Karen Chaumcey Brock
• Karla F Brock, PH.D.
• Maureen White Brock, FNP-C
• Gerald K Brocker Jr., MD

• Orthopaedic Surgery of the Spine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Orthopaedic Surgery of the Spine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.