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

Dr. Jonathan Dale Blankenship, DO

Individual provider Family Medicine Physician · NPI 1629500046

Dr. Jonathan Dale Blankenship, DO is a Family Practice in Bristol, Tennessee. Qualified in 2017, 9 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

240 Medical Park Blvd Ste 3000
Bristol, TN 37620-7352
Phone: (423) 990-2400
Fax: (423) 990-2405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4019 (TN)

Record details

NPI number1629500046
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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