Brian R Bonfardin, MD - Medicare Psychiatry & Neurology in Johnson City, TN

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Brian R Bonfardin, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Johnson City, Tennessee. His current practice location is 2306 Knob Creek Rd Ste 104, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 794-7490.

Brian R Bonfardin is licensed to practice in Tennessee (license number 22059) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356322515.

Contact Information

Brian R Bonfardin, MD
2306 Knob Creek Rd Ste 104,
Johnson City, TN 37604-2366
(423) 794-7490
(423) 735-0289

Map and Direction




Physician's Profile

Full NameBrian R Bonfardin
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location2306 Knob Creek Rd Ste 104, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356322515
  • Provider Enumeration Date: 11/07/2005
  • Last Update Date: 08/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1456392844
  • Enrollment ID: I20050516000849

Medical Identifiers

Medical identifiers for Brian R Bonfardin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356322515NPI-NPPES
22059OtherTNMEDICAL LICENSE
BB2996140MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 22059 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian R Bonfardin allows following entities to bill medicare on his behalf.
Entity NameMckenzie Medical Center PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700534229
PECOS PAC ID: 2365427853
Enrollment ID: O20040619000083

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian R Bonfardin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian R Bonfardin, MD
2306 Knob Creek Rd Ste 104,
Johnson City, TN 37604-2366

Ph: (423) 794-7490		Brian R Bonfardin, MD
2306 Knob Creek Rd Ste 104,
Johnson City, TN 37604-2366

Ph: (423) 794-7490

Reviews and Comments


Psychiatry & Neurology Doctors in Johnson City, TN

Jason Hayes, D.O.
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Practice Location: 109 W Watauga Ave, Johnson City, TN 37604
Phone: 423-232-2600    
Dr. Zachary A. Hammons, MD
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Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Dr. Jeremiah L Marsh, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd Fl 2, Johnson City, TN 37604
Phone: 423-439-7280    Fax: 423-439-7314
Dr. Margaret Shippen Robbins, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 302 Sunset Dr, Suite 106, Johnson City, TN 37604
Phone: 423-434-7098    Fax: 423-434-7098
Dr. Ali Al Garatli, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 109 West Watauga Avenue, Johnson City, TN 37605
Phone: 423-232-2600    Fax: 423-232-2646
Zachary Pierson, DO
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2 Professional Park Dr Ste 21, Johnson City, TN 37604
Phone: 423-379-8120    
Dr. Benjamin Eric Jewett, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3 Professional Park Dr Ste 31, Johnson City, TN 37604
Phone: 423-631-0543    Fax: 423-631-0544

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.