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MICHAEL L BACON MD
NPI 1780628891
Emergency Medicine in Kingsport, TN

Active since June 16, 2006
130 WEST RAVINE ROAD, KINGSPORT, TN 37662(423) 224-4000(423) 224-5120 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael L Bacon Md NPPES

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

MICHAEL L BACON MD (NPI 1780628891) is an individual emergency medicine provider in Kingsport, Tennessee, licensed in Tennessee (23688) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1780628891
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL L BACONCredential: MD
Location Address130 WEST RAVINE ROADKingsport, TN 37662
Mailing AddressPo Box 11724Knoxville, TN 37939-1724 · (865) 766-8800 · Fax (865) 766-8874
Phone(423) 224-4000
Fax(423) 224-5120
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateSeptember 26, 2011
✔ NPI 1780628891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 23688
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
130 WEST RAVINE ROAD, Kingsport, TN 37662
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Other Identifiers 3

Medicare PIN3072072TN
Medicaid3072071TN
Medicare PINV V 2945AVA

Other Providers at the Same Location NPPES

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

MS. BETTY H WELCH PT
Physical Therapist
130 WEST RAVINE ROAD
KINGSPORT, TN 37662
Sullivan County (423) 224-5510

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 Michael Bacon's NPI number?

The NPI number for Michael Bacon is 1780628891. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Michael Bacon located?

Michael Bacon practices at 130 West Ravine Road, Kingsport, TN 37662. The listed phone number is (423) 224-4000.

What is Michael Bacon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Michael Bacon was last updated on September 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.