OrganizationActive
Adult and Geriatric Psychiatry Service
NPI 1053650200 · Geriatric Psychiatry Physician · Johnson City, TN
Provider details
- NPI number
- 1053650200
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Fernando Bendfeldt, Physician
- License
- MD19195 (TN)
Practice location
1618 Strawberry Ln
Johnson City, TN 37604-7700
Phone: (423) 677-6787
Mailing address
101 Med Tech Pkwy Ste 407
Johnson City, TN 37604-4000
Registry dates
- Enumerated
- 2013-02-07
- Last updated
- 2013-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.