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

Scott C Dulebohn, MD

Individual provider Neurological Surgery Physician · NPI 1528009198

Scott C Dulebohn, MD is a Neurosurgery in Johnson City, Tennessee. Graduated from University of Missouri, Columbia School of Medicine in 1989, 37 years ago. Practices with Guam Healthcare Development Incorporated, a 209-clinician group and accepts Medicare assignment. Licensed in Guam, Minnesota, Tennessee and Virginia.

Years since qualifying
37
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
GU, MN, TN, VA
In the registry since
2006
Specialties on file
5
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

410 N State Of Franklin Rd Ste 120
Johnson City, TN 37604-6971
Phone: (423) 431-2350
Fax: (423) 431-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence MD34821 (TN)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 40265 (MN)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 0101247383 (VA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence MTL-2023-001 (GU)
Neurological Surgery Physician Taxonomy 207T00000X · Licence M-2375 (GU)

Record details

NPI number1528009198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023
Mailing address410 N State Of Franklin Rd, Suite 120, Johnson City, TN 37604-6971

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Guam Healthcare Development Incorporated — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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