Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

University of Tennessee Martin

Organization Orthopaedic Surgery Physician · NPI 1861926479

University of Tennessee Martin is an Orthopaedic Surgery Physician in Martin, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017

Practice location Address checks out

95 Mount Pelia Rd Elam Ctr
Martin, TN 38238-0001
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 54536 (TN)

Record details

NPI number1861926479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Ut-Martin Sports Medicine
NPI enumeratedApril 20, 2017
Last updated in NPPESApril 20, 2017
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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