Joel B Nilsson MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JOEL B NILSSON MD PA

Practice address

110 E Bandera Rd
Boerne, TX 78006-2802

Phone

(210) 481-1700

NPI assigned

Sep 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joel B. Nilsson, MD

Title

Partner

Phone

(210) 288-4423

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

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

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352505701",
            "state": "TX"
        }
    ],
    "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"
        }
    ]
}

• Jessica Jean-Baptiste Singleton, DO
• Shawn Thomas Jenkins, DO
• Jennifer J. Krock PLLC
• Amber Jimenez
• Stephanie Jimenez, LVN
• Johnson Eye Care PLLC
• Jennifer E Johnson, MS, CCC-SLP
• Jennifer L Johnson, O.D.
• Kenneth Jay Johnson
• Madeline Alexis Johnson

• Orthopaedic Surgery Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Orthopaedic Surgery Physician in Texas

• 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.