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

Michael L Bacon, MD

Individual provider Emergency Medicine Physician · NPI 1780628891

Michael L Bacon, MD is an Emergency Medicine Physician in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
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

130 W Ravine Rd
Kingsport, TN 37662
Phone: (423) 224-4000
Fax: (423) 224-5120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 23688 (TN)

Record details

NPI number1780628891
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESSeptember 26, 2011
Mailing addressPo Box 11724, Knoxville, TN 37939-1724

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