BEDFORD W. BONTA (NPI# 1326031667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326031667 |
| Entity Type | Individual |
| Full Name | BEDFORD W. BONTA |
| Credential | MD |
| Practice Address |
400 N State of Franklin Rd 1st Floor Johnson City TN 37604-6035 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234316671 |
| Practice Fax Number | 4234312916 |
| Mailing Telephone | 4234316671 |
| Mailing Fax Number | 4234312916 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD24551 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
400 N STATE OF FRANKLIN RD 1ST FLOOR |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389540 | Ian A Darling | Anesthesiology | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2005-07-14 |
| 1174141691 | Roman Brudnik | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-07-10 |
| 1811510993 | Susan Cronier | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-05-22 |
| 1033731823 | Krista Michelle Bonney | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-05-14 |
| 1235760422 | William James Brant | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-01-28 |
| 1346881588 | Johnathan Seth Greene | Registered Nurse | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-09-30 |
| 1184285629 | Juliette Rita-marie Marchant | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-25 |
| 1629638671 | Akshit Griwan | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-20 |
| 1891355053 | Lalith Vardhan Choudhary Namburu | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-19 |
| 1932768173 | Natasha Khan | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-11 |
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396188546 | Brittnea Jean Adcock | Pediatrics | 325 N. State of Franklin Road, Ground Floor, Johnson City, TN 37604 | 2013-04-08 |
| 1720236029 | Shawn Hollinger | Pediatrics | 325 N State of Franklin Rd, Ground Floor, Johnson City, TN 37604 | 2008-08-29 |
| 1972722759 | Rita Alfreda Vileisis | Pediatrics | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2007-04-24 |
| 1912124272 | Michael Angelo Flores | Pediatrics | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2007-04-19 |
| 1134344138 | Paula Ann Farrell | Pediatrics | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2007-04-16 |
| 1659467678 | Darshan S Shah | Pediatrics | 325 N State of Franklin Rd, Ground Floor, Johnson City, TN 37604-6062 | 2006-10-05 |
| 1932192275 | Des R. Bharti | Pediatrics | 400 N State of Franklin Rd, 1st Floor, Johnson City, TN 37604 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1518470780 | Ashley Poynor | Pediatrics | 853 Jefferson Ave # Route206, Memphis, TN 38103-2807 | 2017-11-09 |
| 1528300431 | Kent Avery Willis | Pediatrics | 853 Jefferson Ave Rm 201, Memphis, TN 38103-2807 | 2013-03-19 |
| 1659638310 | Jennifer Michelle Davidson | Pediatrics | 853 Jefferson Ave Ste 201, Memphis, TN 38103 | 2012-04-19 |
| 1619265956 | Susan Marie Lopata | Pediatrics | 2200 Childrens Way # 11111, Nashville, TN 37232-0005 | 2011-07-20 |
| 1346530763 | Anna Kathryn Slagle | Pediatrics | Methodist Lebonheur Germantown Hospital, 7691 Poplar Avenue, Germantown, TN 38138 | 2011-04-19 |
| 1003137571 | Mimily Harsono | Pediatrics | University of Tennessee (division of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 | 2010-06-18 |
| 1457590192 | Millington Pediatrics, PC | Pediatrics | 8222 Us Highway 51 N, Millington, TN 38053-1708 | 2009-02-19 |
| 1487835229 | Sandeep K. Chilakala | Pediatrics | 853 Jefferson Avenue, Suite 201, Memphis, TN 38103 | 2007-11-20 |
| 1215138326 | Lane Ashley Douglass | Pediatrics | 2300 Patterson St., Nashville, TN 37203-0004 | 2007-05-29 |
| Find all providers with the same taxonomy | ||||
| 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.