DR. BERNARD GRUNSTRA (NPI# 1558367417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558367417 |
| Entity Type | Individual |
| Full Name | DR. BERNARD GRUNSTRA |
| Credential | MD |
| Practice Address |
350 Steeles Rd Bristol TN 37620-9532 |
| Practice Telephone | 4238446700 |
| Practice Fax Number | 4238446703 |
| Mailing Telephone | 4238446700 |
| Mailing Fax Number | 4238446703 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2014-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD21854 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD21854 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE PTAN BRMC | 103I119101 | 01 |
| VA | 006747531 | 05 | |
| TN | MEDICARE RAILROAD | 110162828 | 01 |
| VA | ANTHEM PROVIDER NUMBER | 242839 | 01 |
| TN | BLUE CROSS TN PROVIDER # | 3076812 | 01 |
| Street Address |
350 STEELES RD |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-9532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102944 | Dennis Samuel Jr. | Obstetrics & Gynecology | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-05-23 |
| 1740524180 | Kelley Foster Foster | Physician Assistant | 350 Steeles Rd, Ste 1, Bristol, TN 37620 | 2012-11-26 |
| 1518123447 | Parrish F Moree | Urology | 350 Steeles Rd, Ste 1, Bristol, TN 37620 | 2008-07-30 |
| 1881710333 | Dulcie A Champion | Physician Assistant | 350 Steeles Rd, Bristol, TN 37620-9532 | 2007-03-22 |
| 1801892765 | Harry Phillip Claybrook | Specialist | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-06-24 |
| 1205832169 | Shelby Olds | Internal Medicine | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-06-24 |
| 1477556397 | Cynthia Mcglothlin | Nurse Practitioner | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| 1679879118 | Ravikumar Patel | Internal Medicine | 1 Medical Park Blvd Ste 255w, Bristol, TN 37620-7430 | 2011-02-01 |
| 1528274859 | Holly Amber Berndt | Internal Medicine | 1 Medical Park Blvd Ste 350w, Bristol, TN 37620-7471 | 2007-05-15 |
| 1396871422 | Basharat A. Shah | Internal Medicine | 1 Medical Park Blvd., Bristol Regional Medical Center, Bristol, TN 37620 | 2007-02-25 |
| 1114063948 | Wendie M Puls | Internal Medicine | 30 Mountain St, Bristol, VT 05443-1310 | 2007-01-29 |
| 1467520114 | Dorcas B Goodman | Internal Medicine | 11033 Nw State Road 20, Bristol, FL 32321-6406 | 2006-12-01 |
| 1235222506 | John Arthur Frazier | Internal Medicine | 123 Maple St, Bristol, CT 06010-5037 | 2006-10-01 |
| Find all providers in BRISTOL | ||||
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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.