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Contact Information

HOLLY A BERNDT, MD
1 MEDICAL PARK BLVD STE 350W
BRISTOL, TN37620-7471
 Phone: 423-282-1480
 Fax: 423-928-1353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HOLLY A BERNDT · (Female)

NPI Number 1528274859
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2007
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 52384
  • VA License # 0101257455
  • TN Medicaid Q012575
Hospital affiliation(s)
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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