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BEDFORD W. BONTA MD
NPI 1326031667
Pediatrics - Neonatal-Perinatal Medicine in Johnson City, TN

Active since August 23, 2005
400 N STATE OF FRANKLIN RD, 1ST FLOOR, JOHNSON CITY, TN 37604(423) 431-6671(423) 431-2916 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bedford W. Bonta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEDFORD W. BONTA MD (NPI 1326031667) is an individual neonatal-perinatal medicine provider in Johnson City, Tennessee, licensed in Tennessee (MD24551) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1326031667
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameBEDFORD W. BONTACredential: MD
Location Address400 N STATE OF FRANKLIN RD, 1ST FLOORJohnson City, TN 37604-6035
Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 431-6671 · Fax (423) 431-2916
Phone(423) 431-6671
Fax(423) 431-2916
Sole ProprietorNo
Enumeration DateAugust 23, 2005
Last NPPES UpdateNovember 2, 2010
✔ NPI 1326031667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in TN · MD24551
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Identifiers 1

Medicare ID-Type Unspecified3079901TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CASEY JAMES WILBERT PHARM.D
Pharmacist
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-2787
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Cardiovascular Disease)
400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604
Washington County (423) 431-5965
MITCHELL DESHAZER
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727
DR. ANDREW LEE GIBSON MD
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
MCKENZIE PEARL GREGG PA-C, MMS, MPH
Physician Assistant
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
OLUWATOSIN ORIOLA AYANJOKE MD
Family Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
HUNTER DORTON
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
DR. LEON CHARLES BASS M.D.
Internal Medicine (Pulmonary Disease)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bedford Bonta's NPI number?

The NPI number for Bedford Bonta is 1326031667. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Bedford Bonta located?

Bedford Bonta practices at 400 N State Of Franklin Rd 1st Floor, Johnson City, TN 37604. The listed phone number is (423) 431-6671.

What is Bedford Bonta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Bedford Bonta was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.