Organization Active NPI

Joel B Nilsson MD PA

Doing business as Trinity Adult and Pediatric Orthopedic Specialists

  • Orthopaedic Surgery Physician
  • Boerne, TX
National Provider Identifier
1932579489
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JOEL B NILSSON MD PA
Doing business as
Trinity Adult and Pediatric Orthopedic Specialists
Trinity Adult and Pediatric Orthopedics
Practice address
110 E Bandera Rd
Boerne, TX 78006-2802
Phone
(210) 481-1700
NPI assigned
Sep 27, 2015
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Dr. Joel B. Nilsson, MDNPI 1487633384
Title
Partner
Phone
(210) 288-4423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

110 E Bandera Rd
Boerne, TX 78006-2802

Mailing address

540 Madison Oak Dr Ste 260
San Antonio, TX 78258-3930
Phone (210) 481-1700

Other practice location 1

540 Madison Oak Dr Ste 260
San Antonio, TX 78258-3930
Phone (210) 481-1700

Other names 2

  • Trinity Adult and Pediatric Orthopedic Specialists Doing business as
  • Trinity Adult and Pediatric Orthopedics Doing business as

National Provider Directory

National Provider Directory

Locations

18518 Hardy Oak Blvd
Ste 205
San Antonio, TX 78258
Phone (210) 428-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1932579489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583930",
            "telephone_number": "210-481-1700",
            "fax_number": "210-481-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BANDERA RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062802",
            "telephone_number": "210-481-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Madison Oak Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583930",
            "country_code": "US",
            "telephone_number": "210-481-1700",
            "fax_number": "210-481-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOEL B NILSSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2023-02-14",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "NILSSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "210-288-4423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Adult and Pediatric Orthopedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Adult and Pediatric Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.