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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN R BONFARDIN, MD

Active Sole Proprietor

BRIAN R BONFARDIN, MD is a Psychiatry healthcare provider located in JOHNSON CITY, Tennessee. NPI 1356322515 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · JOHNSON CITY, TN

Registration Details

NPI Number
1356322515
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2005 (20.585448604275 yrs)
Last Updated
Mar 25, 2025
License
22059 (TN)
Sole Proprietor
Yes

Practice Information

Address
2306 KNOB CREEK RD STE 104
JOHNSON CITY, TN, 376042366
Browse TN providers · Browse ZIP 37604
Phone
4237947490
Fax
4237350289
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in JOHNSON CITY, TN

Name Credential NPI
DR. FERNANDO BENDFELDT M.D. 1205830536
DR. RICHARD EVAN JACKSON MD 1457359770
DR. HETAL K. BRAHMBHATT M.D. 1841283199
WILLIAM DIEBOLD MD 1770573511
SWARNA REDDY MD 1528044583
CHARLES E GAINES DO 1649236753
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.