BRAD A FELTIS MD
NPI 1437110004
Surgery - Pediatric Surgery in Johnson City, TN

Active since March 31, 2006PECOS Enrolled
325 N STATE OF FRANKLIN RD FL 3, JOHNSON CITY, TN 37604(423) 439-7201(423) 438-7219 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2024, Jul 31, 2020, Jul 1, 2020 and 2 more (5 updates tracked since 2016).

About Brad A Feltis Md NPPES

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

BRAD A FELTIS MD (NPI 1437110004) is an individual pediatric surgery provider in Johnson City, Tennessee, licensed in Tennessee (MD60987) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437110004
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameBRAD A FELTISCredential: MD
Location Address325 N STATE OF FRANKLIN RD FL 3Johnson City, TN 37604-6171
Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 439-7201 · Fax (423) 439-7219
Fax(423) 438-7219
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateMarch 6, 20245 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1437110004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses Licensed in TN · MD60987 Licensed in MN · 40928
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
325 N STATE OF FRANKLIN RD FL 3, Johnson City, TN 37604

Secondary Practice Locations 2

Location 11 Medical Park Blvd Ste 250Bristol, TN 37620-7430 · Phone (423) 844-6620 · Fax (423) 844-6627
Location 2208 Medical Park BlvdBristol, TN 37620-7343 · Phone (423) 989-4050

Other Identifiers 2

MedicaidQ057730TN
Medicaid108781900MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brad A Feltis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Surgery (Pediatric Surgery)
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604

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 Brad Feltis's NPI number?

The NPI number for Brad Feltis is 1437110004. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Brad Feltis located?

Brad Feltis practices at 325 N State Of Franklin Rd Fl 3, Johnson City, TN 37604. The listed phone number is (423) 439-7201.

What is Brad Feltis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Brad Feltis enrolled in Medicare?

Yes. Brad Feltis is registered in the Medicare PECOS enrollment system.

What insurance does Brad Feltis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Brad Feltis 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 Brad Feltis was last updated on March 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.