Individual
TIM BONGARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00000053351
TN
207RR0500X
Rheumatology Physician
103859
MN
207RR0500X
Rheumatology Physician
51059
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00665861
RAILROAD MEDICARE
MN
05
—
Q038691
—
TN
Enumeration date
03/29/2007
Last updated
04/18/2025
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