David J Bumgarner, PHD is a
Psychologist - Clinical based in Johnson City, Tennessee. David J Bumgarner is licensed to practice in Tennessee (license number P0000003474) and his current practice location is
2203 Mckinley Rd, Johnson City, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 926-1171.
NPI number for David J Bumgarner is 1891024741 and his current mailing address is Po Box 4000, Mountain Home, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891024741.
Healthcare Provider's Profile
| Full Name | David J Bumgarner |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 2203 Mckinley Rd, Johnson City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891024741
- Provider Enumeration Date: 12/23/2009
- Last Update Date: 06/20/2018
Medical Identifiers
Medical identifiers for David J Bumgarner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891024741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | P0000003474 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David J Bumgarner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David J Bumgarner, PHD
Po Box 4000,
Mountain Home, TN 37684-4000
Ph: (423) 926-1171 | David J Bumgarner, PHD
2203 Mckinley Rd,
Johnson City, TN 37604
Ph: (423) 926-1171 |
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