Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bertrand Bezanchong Teh Fonji, MD

Individual provider Surgery Physician · NPI 1073764403

Bertrand Bezanchong Teh Fonji, MD is a General Surgery in Conway, Arkansas. Graduated from State University of Ny Upstate Medical University in 2005, 21 years ago. Practices with Arkansas Health Group, a 645-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
21
Trained at
State University of Ny Upstate Medical University
Licensed in
AR
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

650 United Dr Ste 240
Conway, AR 72032-7004
Phone: (501) 329-1415
Fax: (501) 329-2589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence E-11895 (AR)

Record details

NPI number1073764403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2008
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2005 (21 years in practice)
Group practice Arkansas Health Group — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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