Jonathan Bungard, | |
563 S Water Ave Ste E, Gallatin, TN 37066-6312 | |
(615) 527-3060 | |
Not Available |
Full Name | Jonathan Bungard |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 563 S Water Ave Ste E, Gallatin, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225600216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230404000547 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Bungard, 563 S Water Ave Ste E, Gallatin, TN 37066-6312 Ph: () - | Jonathan Bungard, 563 S Water Ave Ste E, Gallatin, TN 37066-6312 Ph: (615) 527-3060 |
Heather Marie Harper, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 563 S Water Ave Ste E, Gallatin, TN 37066 Phone: 615-527-3060 | |
Jamie Porch, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1509 Hunt Club Blvd Ste 600, Gallatin, TN 37066 Phone: 615-336-6276 | |
Ms. Kimberly An Martindale, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 E Main St, Gallatin, TN 37066 Phone: 615-442-0301 | |
Amber Allgood Miller, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 Sumner Hall Dr, Gallatin, TN 37066 Phone: 615-460-4502 Fax: 615-460-4500 | |
Mary Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 563 S Water Ave, Gallatin, TN 37066 Phone: 615-812-9928 | |
Nakeda Middleton Burrow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Tyler Ct, Gallatin, TN 37066 Phone: 615-593-8105 | |
Christie Mccullough, Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 Sumner Hall Dr, Gallatin, TN 37066 Phone: 615-460-4500 |