Individual
PAUL BRADLEY SEGEBARTH
Active
Individual
PAUL BRADLEY SEGEBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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