Individual
PAUL BRADLEY SEGEBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 RANDOLPH RD, CHARLOTTE, NC 28207-1215
(704) 323-2000
Mailing address
4601 PARK ROAD, SUITE 300, CHARLOTTE, NC 28209
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2007-01152
NC
207X00000X
Orthopaedic Surgery Physician
39666
TN
207XS0117X
Orthopaedic Surgery of the Spine Physician
2007-01152
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507089
—
TN
05
—
1507091
—
TN
01
—
4194925
BLUECROSS BLUESHIELD
TN
01
—
7100083360
KY. MEDICAID
TN
01
—
9932128
AETNA
—
05
—
N0115A
—
SC
01
—
P00762681
RAILROAD MEDICARE
TN
Enumeration date
01/04/2007
Last updated
08/16/2023
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