Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1588609242 Deactivated / Inactive NPI Male Practitioner

Dr. Fred R Knickerbocker , MD

Orthopaedic Surgery • Bristol, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Knickerbocker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 18, 2006
NPI Deactivation Date March 26, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Knickerbocker, MD was a registered Orthopaedic Surgery practicing in Bristol, TN. Throughout an active medical career spanning 20 years, Dr. Knickerbocker provided care at the practice location at 260 MIDWAY MEDICAL PARK until profile deactivation on 2026-03-26.

Practice Location & Contact Primary Location

Practice Address

260 Midway Medical Park
Suite 100

Bristol, TN 376201721

Telephone 4239684446
Fax 4239684802
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bristol, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
15 Specialists

Practicing in Bristol, TN (509 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 10490

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Michael Fleenor , MD

Orthopaedic Surgery

NPI 1215964911

Doctor of Medicine (M.D.)

Jon Slaven , PA-C

Orthopaedic Surgery

NPI 1629619820

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 26, 2026

Record deactivated on March 26, 2026

NPI Profile Active March 24, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2008

Registered at 260 MIDWAY MEDICAL PARK, SUITE 100, BRISTOL, TN 376201721 (Tel: 4239684446)

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Updated Business Mailing Address March 24, 2008

Registered at 260 MIDWAY MEDICAL PARK, SUITE 100, BRISTOL, TN 376201721 (Tel: 4239684446)

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Provider Name / Credentials Updated March 24, 2008

Recorded as FRED KNICKERBOCKER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2008

Orthopaedic Surgery (License #10490 in TN)

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Initial NPI Registration & Enumeration June 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588609242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2006
Last Update: March 24, 2008
Deactivation Date: March 26, 2026

Mailing Address

260 Midway Medical Park, Suite 100

Bristol, TN 376201721

Phone: 4239684446

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.