DR. FERNANDO BENDFELDT (NPI# 1205830536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205830536 |
| Entity Type | Individual |
| Full Name | DR. FERNANDO BENDFELDT |
| Credential | M.D. |
| Practice Address |
101 Med Tech Pkwy Ste 407 Johnson City TN 37604-4000 |
| Mailing Address |
Po Box 5725 Johnson City TN 37602-5725 |
| Practice Telephone | 4232838801 |
| Practice Fax Number | 4232824533 |
| Mailing Telephone | 4232838801 |
| Mailing Fax Number | 4232824533 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD09195 | TN | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD09195 | TN | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD09195 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AIG CLAIM SVS WORKER COM | 621837879 | 01 |
| FL | HORIZON HEALTH | 621837879 | 01 |
| IL | BANKERS LIFE | 621837879 | 01 |
| GA | PALMETTO GBA | 260046091 | 01 |
| FL | AMERICAN GENERAL LIFE | 621837879 | 01 |
| TN | NPI | 1205830536 | 01 |
| NC | CM ADMINISTRATORS IN | 621837879 | 01 |
| IL | JOHN DEERE HEALTH CARE | 621837879-01 | 01 |
| TN | 1205830536 | 05 | |
| TN | NPI | 05 | |
| MO | GEHA | 21699743 | 01 |
| VA | TRIGON BC/BS | 219709 | 01 |
| TN | BLUE CROSS BLUE SHIELD OF | 3159564 | 01 |
| TN | CONTINENTAL LIFE | 621837879 | 01 |
| TN | CIGNA HEALTH CARE | 621837879-0002 | 01 |
| TN | CARITEN SENIOR HEALTH | 421837879 | 01 |
| UT | INITED HEALTH CARE | 621837879 | 01 |
| NC | CBHA CAROLINA BEHAVIORAL | 621837879 | 01 |
| TN | 3036274 | 05 | |
| TN | UNITED BEHAVIORAL HEALTH | 621837870 | 01 |
| VA | MEDICAID VA7104511 | 7104511 | 01 |
| Street Address |
101 MED TECH PKWY STE 407 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558669986 | Caitlen M Petschke | Physician Assistant | 101 Med Tech Pkwy, Ste. 405, Johnson City, TN 37604-4007 | 2011-03-09 |
| 1023319290 | John Argerson | Specialist | 101 Med Tech Pkwy, Suite 402, Johnson City, TN 37604-4007 | 2010-11-04 |
| 1962655696 | Pain Medicine Associates, P.C. | Psychologist | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2008-10-28 |
| 1679722052 | Michael M Wilkinson | Anesthesiology | 101 Med Tech Pkwy, Johnson City, TN 37604-4007 | 2008-09-10 |
| 1548422355 | Pma Surgery Center LLC | Psychologist | 101 Med Tech Pkwy, Suite 205, Johnson City, TN 37604-4007 | 2008-07-02 |
| 1942475439 | Tri Cities Esthetics, Inc. | Specialist | 101 Med Tech Pkwy, Suite 402, Johnson City, TN 37604-4007 | 2008-04-25 |
| 1821158031 | Alison Repass Herrig | Nurse Practitioner | 101 Med Tech Pkwy, Suite 405, Johnson City, TN 37604-4007 | 2006-12-11 |
| 1053496901 | Mountain States Health Alliance | Durable Medical Equipment & Medical Supplies | 101 Med Tech Pkwy, Suite 100, Johnson City, TN 37604-4007 | 2006-10-26 |
| 1417031071 | Smokie Mountain Dialysis Inc. | Clinic/Center | 101 Med Tech Pkwy, Suite 406, Johnson City, TN 37604-4007 | 2006-10-24 |
| 1922191238 | James A Ross | Emergency Medicine | 101 Med Tech Pkwy, Suite 305, Johnson City, TN 37604-4007 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228619 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 1310 N Roan St, Johnson City, TN 37601-3942 | 2019-11-04 |
| 1942696158 | Bill Mccartt | Psychiatry & Neurology | 267 Laurel Cyn, Johnson City, TN 37615-4727 | 2015-04-14 |
| 1194146894 | Medical Education Assistance Corporation | Psychiatry & Neurology | 2109 W Market St Ste 140, Johnson City, TN 37604 | 2013-12-23 |
| 1538450408 | Faith A Aimua | Psychiatry & Neurology | 206 Princeton Rd Ste 18, Johnson City, TN 37601-2025 | 2011-04-27 |
| 1972753663 | Marina S.l. Colombo | Psychiatry & Neurology | Lamont and Veterans Way. Mountain Home., James H Quillen Va Med Center., Johnson City, TN 37684 | 2008-09-30 |
| 1588853295 | Mountain States Health Alliance | Psychiatry & Neurology | 508 Princeton Commons, Suite 403, Johnson City, TN 37601-2060 | 2007-10-18 |
| 1639370950 | Marian Eleanor Steen | Psychiatry & Neurology | 607 E Watauga Ave Apt 3, Johnson City, TN 37601-4071 | 2007-05-31 |
| 1497967897 | David Lionel Forester | Psychiatry & Neurology | 209 E Unaka Ave, Johnson City, TN 37601-4625 | 2007-05-06 |
| 1407982762 | William Arthur Wiley Jr. | Psychiatry & Neurology | 112 E Myrtle Avenue, Suite 506, Johnson City, TN 37601-8600 | 2007-02-23 |
| 1356417661 | Jill Baron | Psychiatry & Neurology | 804 Valley Plaza, Johnson City, NY 13790 | 2006-11-28 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.