Individual provider · NPI-1

William Russell Judson IV

Orthopaedic Surgery · Hermitage, TN

NPI number1578023081
StatusActive
Last updated in NPPESDec 2, 2025

Details

NPI
1578023081
Entity type
Individual (NPI-1)
Name
William Russell Judson IV
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 21, 2019
Certification date
Dec 2, 2025
Last updated
Dec 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery6211TNYes
207X00000X Orthopaedic Surgery100142GA

Practice location

302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391

Phone 615-391-4545 · Fax 615-391-4546

Mailing address

302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391

Phone 615-391-4545 · Fax 615-391-4546

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthopaedic Surgery providers in Hermitage, TN