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BRIAN R BONFARDIN MD
NPI 1356322515
Psychiatry & Neurology - Psychiatry in Johnson City, TN

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
2306 KNOB CREEK RD STE 104, JOHNSON CITY, TN 37604(423) 794-7490(423) 735-0289 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Mar 25, 2025 (2 updates tracked since 2025).

About Brian R Bonfardin Md NPPES

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

BRIAN R BONFARDIN MD (NPI 1356322515) is an individual psychiatry provider in Johnson City, Tennessee, licensed in Tennessee (22059) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1356322515
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameBRIAN R BONFARDINCredential: MD
Location Address2306 KNOB CREEK RD STE 104Johnson City, TN 37604-2366
Mailing Address2306 Knob Creek Rd Ste 104Johnson City, TN 37604-2366 · (423) 794-7490 · Fax (423) 735-0289
Phone(423) 794-7490
Fax(423) 735-0289
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 7, 2005
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1356322515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TN · 22059
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2306 KNOB CREEK RD STE 104, Johnson City, TN 37604
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Secondary Practice Locations 2

Location 1205A Hospital DrMc Kenzie, TN 38201-2024 · Phone (731) 352-7907 · Fax (833) 690-3848
Location 2401 Takoma AveGreeneville, TN 37743-4647 · Phone (423) 639-3151 · Fax (423) 798-1266

Other Identifiers 2

MedicaidBB2996140TN
Other22059TN · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian R Bonfardin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456392844
PECOS Enrollment IDI20050516000849
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brian Bonfardin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mckenzie Medical Center PC
338 mi
Rural Health
205A COURT SQ
Huntingdon, TN 38344
  • Reassigned Medicare billing, Tennessee enrollment
  • 29 clinicians in this Medicare group
NPI 1144816901 (731) 352-7907

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brian Bonfardin's NPI number?

The NPI number for Brian Bonfardin is 1356322515. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Brian Bonfardin located?

Brian Bonfardin practices at 2306 Knob Creek Rd Ste 104, Johnson City, TN 37604. The listed phone number is (423) 794-7490.

What is Brian Bonfardin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Brian Bonfardin enrolled in Medicare?

Yes. Brian Bonfardin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brian Bonfardin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Bonfardin reassigns Medicare benefits to Mckenzie Medical Center PC (Huntingdon, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Bonfardin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Bonfardin accept?

Health plans from BlueCross BlueShield of Tennessee list Brian Bonfardin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Bonfardin was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.