Active NPI 1750383576 Individual Practitioner Male Practitioner

Dr. Thomas Lisle Whitman , MD

Orthopaedic Surgery • Bristol, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Whitman, MD is a certified Orthopaedic Surgery practicing in Bristol, TN. With approximately 32 years of clinical experience since graduating from University Of Virginia School Of Medicine in 1994, Dr. Whitman delivers high-quality medical care to the local community at 1 MEDICAL PARK BLVD STE 300E.

Dr. Whitman maintains professional affiliations with Norton Community Physician Services Llc, Campbell Clinic, Pc, Dominion Health And Fitness, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, triluron, for intra-articular injection, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park Blvd Ste 300e

Bristol, TN 376207497

Telephone 4238446450

Fax 4238446499

Associated Practice Facility / Clinic

🏢 Campbell Clinic Pc Facility NPI 1104711514

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bristol, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +15.7 yrs vs City Avg

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

76.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whitman (32 Years) 32 Yrs

Bristol Specialty Average (16.3 Years) 16.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7332 Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg	2,262	28	$32.88	$10.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	493	314	$360.00	$117.80
20610 Aspiration and/or injection of fluid from large joint	377	186	$260.36	$64.80
99213 Established patient office or other outpatient visit, typically 15 minutes	291	218	$254.00	$83.45
73562 X-ray of knee, 3 views	270	182	$112.41	$36.04
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	230	167	$5.00	$4.91
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	132	37	$200.00	$72.97
73501 X-ray of hip with pelvis, 1 view	123	97	$96.00	$29.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$468.00	$152.10
72100 X-ray of lower and sacral spine, 2-3 views	63	60	$107.00	$35.98
27447 Replacement of knee joint, both sides of knee	59	56	$5425.45	$1125.36
73560 X-ray of knee, 1-2 views	51	42	$80.00	$30.18
73030 X-ray of shoulder, minimum of 2 views	49	41	$120.00	$31.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	26	$505.00	$156.01
73610 X-ray of ankle, minimum of 3 views	29	13	$102.00	$32.88
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$5128.72	$1169.23
73140 X-ray of finger, minimum of 2 views	16	11	$82.00	$34.07
72170 X-ray of pelvis, 1-2 views	15	15	$73.00	$24.03
20550 Injection into tendon or ligament	14	11	$165.00	$52.79
73721 Mri scan of leg joint without contrast	13	13	$1064.00	$128.03
73521 X-ray of both hips, 2 views	13	12	$128.00	$37.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$313.00	$102.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,252	12	$38.00	$8.55
J7332 Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg	543	17	$58.19	$10.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	394	280	$269.33	$116.40
73562 X-ray of knee, 3 views	371	245	$102.25	$36.02
20610 Aspiration and/or injection of fluid from large joint	361	181	$262.35	$65.53
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	245	174	$5.00	$4.91
99213 Established patient office or other outpatient visit, typically 15 minutes	229	182	$189.35	$82.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	123	$93.48	$51.66
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	133	35	$200.00	$73.52
73501 X-ray of hip with pelvis, 1 view	111	90	$96.00	$28.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$224.49	$101.96
27447 Replacement of knee joint, both sides of knee	63	60	$5535.09	$1137.99
73560 X-ray of knee, 1-2 views	57	54	$80.00	$29.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$402.75	$149.36
73030 X-ray of shoulder, minimum of 2 views	48	44	$120.00	$31.59
72100 X-ray of lower and sacral spine, 2-3 views	38	37	$107.00	$35.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$389.44	$166.74
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$5049.00	$1171.34
73721 Mri scan of leg joint without contrast	17	16	$1126.82	$126.99
73100 X-ray of wrist, 2 views	15	13	$81.00	$30.93
20550 Injection into tendon or ligament	14	13	$165.00	$51.46
73221 Mri scan of arm joint without contrast	14	14	$1091.29	$135.92
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$181.82	$43.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	360	200	$256.86	$65.59
73562 X-ray of knee, 3 views	348	223	$96.00	$37.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	336	268	$221.00	$119.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	284	212	$89.00	$52.09
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	257	186	$5.00	$4.91
99213 Established patient office or other outpatient visit, typically 15 minutes	224	183	$149.00	$84.12
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	182	50	$200.00	$74.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$221.00	$102.83
73501 X-ray of hip with pelvis, 1 view	135	106	$96.00	$28.50
27447 Replacement of knee joint, both sides of knee	72	66	$5529.20	$1173.04
73030 X-ray of shoulder, minimum of 2 views	64	54	$120.00	$31.13
73560 X-ray of knee, 1-2 views	62	55	$80.00	$30.75
73565 X-ray of both knees while standing	37	37	$89.00	$37.34
72100 X-ray of lower and sacral spine, 2-3 views	35	35	$107.00	$36.27
73610 X-ray of ankle, minimum of 3 views	32	18	$85.00	$32.33
27130 Replacement of thigh bone and hip joint with prosthesis	19	18	$5115.43	$1187.47
72170 X-ray of pelvis, 1-2 views	16	15	$73.00	$24.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$151.00	$67.66
73221 Mri scan of arm joint without contrast	13	13	$1120.46	$133.24
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$190.00	$54.73
73502 X-ray of hip, 2-3 views	11	11	$133.00	$43.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	326	$221.00	$121.16
20610 Aspiration and/or injection of fluid from large joint	396	211	$271.19	$67.99
73562 X-ray of knee, 3 views	364	231	$96.00	$36.29
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	276	191	$5.00	$4.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	267	210	$89.00	$52.31
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	241	54	$200.00	$75.40
99213 Established patient office or other outpatient visit, typically 15 minutes	200	159	$149.00	$84.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	175	175	$221.00	$104.02
73501 X-ray of hip with pelvis, 1 view	152	121	$96.00	$27.88
73560 X-ray of knee, 1-2 views	97	84	$80.00	$30.72
27447 Replacement of knee joint, both sides of knee	74	71	$5416.24	$1172.72
73565 X-ray of both knees while standing	66	66	$89.00	$37.36
73030 X-ray of shoulder, minimum of 2 views	61	56	$120.00	$30.41
72100 X-ray of lower and sacral spine, 2-3 views	37	37	$107.00	$35.66
73100 X-ray of wrist, 2 views	33	18	$81.00	$30.44
73610 X-ray of ankle, minimum of 3 views	24	16	$85.00	$27.32
27130 Replacement of thigh bone and hip joint with prosthesis	23	22	$5049.00	$1199.05
73221 Mri scan of arm joint without contrast	19	19	$1121.89	$154.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	18	$151.00	$68.54
73521 X-ray of both hips, 2 views	15	14	$128.00	$37.90
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$3849.56	$936.27
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$4025.33	$1161.38
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3723.00	$1137.83
73721 Mri scan of leg joint without contrast	11	11	$1064.00	$143.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	293	$221.00	$102.40
20610 Aspiration and/or injection of fluid from large joint	363	209	$265.56	$65.63
73562 X-ray of knee, 3 views	339	228	$96.00	$35.52
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	273	192	$5.00	$4.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	237	192	$89.00	$42.32
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	210	46	$200.00	$78.78
99213 Established patient office or other outpatient visit, typically 15 minutes	174	149	$149.00	$69.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$221.00	$100.15
73501 X-ray of hip with pelvis, 1 view	136	106	$96.00	$28.25
27447 Replacement of knee joint, both sides of knee	81	78	$5513.02	$1283.60
73560 X-ray of knee, 1-2 views	74	66	$80.00	$28.85
72100 X-ray of lower and sacral spine, 2-3 views	55	55	$107.00	$34.86
73030 X-ray of shoulder, minimum of 2 views	50	46	$120.00	$29.39
73565 X-ray of both knees while standing	49	49	$89.00	$34.94
27130 Replacement of thigh bone and hip joint with prosthesis	22	21	$5049.00	$1235.08
20550 Injection into tendon or ligament	18	16	$165.00	$44.88
72170 X-ray of pelvis, 1-2 views	16	15	$73.00	$25.22
73221 Mri scan of arm joint without contrast	13	12	$1066.00	$138.35
73721 Mri scan of leg joint without contrast	13	13	$1064.00	$145.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	523	282	$261.16	$61.90
73562 X-ray of knee, 3 views	405	256	$96.00	$33.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	403	320	$221.00	$101.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	325	266	$89.00	$41.61
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	312	73	$200.00	$78.31
99213 Established patient office or other outpatient visit, typically 15 minutes	305	246	$149.00	$68.21
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	297	221	$5.00	$4.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	212	212	$221.00	$99.74
73560 X-ray of knee, 1-2 views	133	121	$80.00	$28.76
73501 X-ray of hip with pelvis, 1 view	132	106	$96.00	$26.73
27447 Replacement of knee joint, both sides of knee	113	106	$5523.44	$1277.52
73565 X-ray of both knees while standing	98	98	$89.00	$34.28
73030 X-ray of shoulder, minimum of 2 views	71	61	$120.00	$25.65
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	42	16	$250.00	$140.77
72100 X-ray of lower and sacral spine, 2-3 views	37	37	$107.00	$33.22
J1030 Injection, methylprednisolone acetate, 40 mg	23	16	$10.00	$5.85
72170 X-ray of pelvis, 1-2 views	22	21	$73.00	$29.43
73610 X-ray of ankle, minimum of 3 views	21	16	$85.00	$30.77
73721 Mri scan of leg joint without contrast	21	20	$1080.95	$135.87
73100 X-ray of wrist, 2 views	19	15	$81.00	$27.87
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$5102.15	$1216.29
73221 Mri scan of arm joint without contrast	18	18	$1066.00	$149.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	594	325	$264.92	$62.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	482	371	$221.00	$99.27
73562 X-ray of knee, 3 views	361	234	$96.00	$31.63
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	353	262	$5.00	$4.88
99213 Established patient office or other outpatient visit, typically 15 minutes	328	269	$149.00	$67.09
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	325	77	$200.00	$84.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	260	210	$89.00	$40.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	223	223	$221.00	$99.78
73501 X-ray of hip with pelvis, 1 view	170	129	$96.00	$26.11
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	103	41	$250.00	$145.99
73560 X-ray of knee, 1-2 views	96	93	$80.00	$27.83
27447 Replacement of knee joint, both sides of knee	82	81	$5643.40	$1245.72
73565 X-ray of both knees while standing	76	76	$89.00	$32.14
73030 X-ray of shoulder, minimum of 2 views	64	55	$120.00	$26.73
73610 X-ray of ankle, minimum of 3 views	36	17	$85.00	$26.47
72100 X-ray of lower and sacral spine, 2-3 views	31	31	$107.00	$32.13
27130 Replacement of thigh bone and hip joint with prosthesis	25	23	$5089.39	$1167.27
73221 Mri scan of arm joint without contrast	24	24	$1066.00	$152.76
73721 Mri scan of leg joint without contrast	21	20	$1097.90	$155.39
72170 X-ray of pelvis, 1-2 views	19	19	$73.00	$29.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$151.00	$68.98
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$209.00	$95.81
73630 X-ray of foot, minimum of 3 views	14	13	$83.00	$25.51
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$2323.00	$155.47
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$3771.00	$926.97
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$4343.00	$1148.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	502	276	$264.52	$62.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	459	350	$221.00	$98.64
73562 X-ray of knee, 3 views	364	232	$96.26	$31.68
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	328	222	$5.00	$4.87
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	295	72	$200.00	$85.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	263	206	$89.00	$39.42
99213 Established patient office or other outpatient visit, typically 15 minutes	229	191	$149.00	$66.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	175	175	$221.00	$99.36
73501 X-ray of hip with pelvis, 1 view	132	103	$96.00	$26.37
73560 X-ray of knee, 1-2 views	95	92	$80.00	$27.78
27447 Replacement of knee joint, both sides of knee	85	81	$5529.60	$1222.63
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	79	33	$250.00	$149.48
73565 X-ray of both knees while standing	78	78	$89.00	$32.44
73030 X-ray of shoulder, minimum of 2 views	37	29	$120.00	$25.75
27130 Replacement of thigh bone and hip joint with prosthesis	23	22	$5049.00	$1263.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	22	$151.00	$65.44
20550 Injection into tendon or ligament	19	15	$172.11	$41.42
73502 X-ray of hip, 2-3 views	18	14	$133.00	$33.30
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$107.00	$31.98
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$4343.00	$1144.37
72170 X-ray of pelvis, 1-2 views	12	12	$73.00	$28.94
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$209.00	$95.48

Medical Specialties & State Licenses

CMS Verified: 2025-10-09

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 33974

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License VA 0101053006

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

006405151 (VA)

Medicaid State Provider ID

3854161 (TN)

Hospital & Practice Group Affiliations

Norton Community Physician Services Llc

1490 Park Ave Nw, Norton, VA 242731631

Phone: 2764391385

Campbell Clinic, Pc

1400 S Germantown Rd, Germantown, TN 381382205

Phone: 9017593100

Campbell Clinic, Pc

3 Professional Park Dr, Johnson City, TN 376046529

Phone: 4234346300

Dominion Health And Fitness, Inc

4862 Dickenson Hwy, Clintwood, VA 242281810

Dominion Health And Fitness, Inc

4862 Dickenson Hwy, Clintwood, VA 242281810

Campbell Clinic, Pc

1 Medical Park Blvd, Bristol, TN 376207497

Phone: 4234346300

Practice Associates & Co-Workers

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

16 Associated Practitioners

Brittany Bays , MS, ATC, PA-C

Physician Assistant

NPI 1003183443

Master of Science, Certified Athletic Trainer, Physician Assistant (Certified)

Dr. Jonathan Clark , MD

Orthopaedic Surgery

NPI 1033437330

Doctor of Medicine (M.D.)

Christy Mcghee , PA-C

Physician Assistant

NPI 1063402022

Physician Assistant (Certified)

Dr. Bert Tagert , MD

Orthopaedic Surgery

NPI 1104828003

Doctor of Medicine (M.D.)

Savanna Barber , PA-C

Physician Assistant

NPI 1194485953

Physician Assistant (Certified)

Robert Stevenson , PA-C

Physician Assistant

NPI 1205359544

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address October 09, 2025

Registered at 1 MEDICAL PARK BLVD STE 300E, BRISTOL, TN 376207497 (Tel: 4238446450)

📍

Updated Practice Location July 10, 2025

Registered at 1 MEDICAL PARK BLVD STE 300E, BRISTOL, TN 376207497 (Tel: 4238446450)

📍

Updated Business Mailing Address July 10, 2025

Registered at 1400 S GERMANTOWN RD, GERMANTOWN, TN 381382205 (Tel: 9017593100)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2025

Orthopaedic Surgery (License #0101053006 in VA)

✅

NPI Profile Active March 24, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2008

Registered at 1 MEDICAL PARK BLVD, STE 300 E, BRISTOL, TN 376207430 (Tel: 4238446450)

📍

Updated Business Mailing Address March 24, 2008

Registered at 1 MEDICAL PARK BLVD, SUITE 300 E, BRISTOL, TN 376207430 (Tel: 4238446450)

👤

Provider Name / Credentials Updated March 24, 2008

Recorded as THOMAS WHITMAN, M.D.

🎓

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

Orthopaedic Surgery (License #33974 in TN)

🟢

Initial NPI Registration & Enumeration August 11, 2005

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: 1750383576

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 11, 2005

Last Update: October 09, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Park Blvd Ste 300e

Bristol, TN 376207497

Phone: 4238446450

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

⚠️ Medical Disclaimer

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