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

Individual provider Psychiatry Physician · NPI 1356322515

Brian R Bonfardin, MD is a Psychiatry Physician in Johnson City, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2005
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

2306 Knob Creek Rd Ste 104
Johnson City, TN 37604-2366
Phone: (423) 794-7490
Fax: (423) 735-0289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Takoma Ave, Greeneville, TN 37743-4647 — (423) 639-3151

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 22059 (TN)

Record details

NPI number1356322515
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 7, 2005
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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