BEDFORD W. BONTA MD NPI 1326031667

NPI Information

  • NPI: 1326031667
  • Provider Name: BEDFORD W. BONTA, MD
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • Address: 400 N STATE OF FRANKLIN RD
    1ST FLOOR
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 431-6671

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NPI Details

Bedford W. Bonta, MD is a neonatal-perinatal medicine pediatrics in Johnson City, TN. The provider is 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. Bedford W. Bonta, MD NPI is 1326031667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 N STATE OF FRANKLIN RD
1ST FLOOR
JOHNSON CITY, TN
ZIP 37604-035
Phone: (423) 431-6671
Fax: (423) 431-2916

The enumeration date for this NPI number is 8/23/2005 and was last updated on 11/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080N0001XPediatricsNeonatal-Perinatal MedicineMD24551TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13079901MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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