Healthcare Provider Details

I. General information

NPI: 1104815430
Provider Name (Legal Business Name): NASHVILLE BONE AND JOINT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 OLD LEBANON DIRT RD FL 2
HERMITAGE TN
37076-2386
US

IV. Provider business mailing address

302 OLD LEBANON DIRT RD STE 200
HERMITAGE TN
37076-2391
US

V. Phone/Fax

Practice location:
  • Phone: 615-391-4545
  • Fax: 615-391-4546
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: WALTER SCOTT DUBE
Title or Position: OWNER
Credential: M.D.
Phone: 615-391-4545