Individual
DR. FERNANDO BENDFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MED TECH PKWY, STE 407, JOHNSON CITY, TN 37604-4000
(423) 283-8801
(423) 282-4533
Mailing address
PO BOX 5725, JOHNSON CITY, TN 37602-5725
(423) 283-8801
(423) 282-4533
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD09195
TN
2084P0800X
Psychiatry Physician
Primary
MD09195
TN
2084P0805X
Geriatric Psychiatry Physician
MD09195
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205830536
NPI
TN
05
—
1205830536
—
TN
01
—
21699743
GEHA
MO
01
—
219709
TRIGON BC/BS
VA
01
—
260046091
PALMETTO GBA
GA
05
—
3036274
—
TN
01
—
3159564
BLUE CROSS BLUE SHIELD OF
TN
01
—
421837879
CARITEN SENIOR HEALTH
TN
01
—
621837870
UNITED BEHAVIORAL HEALTH
TN
01
—
621837879
HORIZON HEALTH
FL
01
—
621837879
BANKERS LIFE
IL
01
—
621837879
CM ADMINISTRATORS IN
NC
01
—
621837879
AIG CLAIM SVS WORKER COM
NJ
01
—
621837879
CONTINENTAL LIFE
TN
01
—
621837879
INITED HEALTH CARE
UT
01
—
621837879-0002
CIGNA HEALTH CARE
TN
01
—
621837879-01
JOHN DEERE HEALTH CARE
IL
01
—
7104511
MEDICAID VA7104511
VA
05
—
NPI
—
TN
Enumeration date
05/23/2005
Last updated
05/05/2011
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