Bertrand Bezanchong Teh Fonji, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E-11895 Issued in AR

Practice address

650 United Dr Ste 240
Conway, AR 72032-7004

Phone

(501) 329-1415

Fax

(501) 329-2589

NPI assigned

Oct 3, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

State University of Ny Upstate Medical University, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bfonji273509@direct.baptist-healthar.org
• FHIR API: https://fhir-usa.unify.chbase.com/org/howard-9d20da0d

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Health Group

  • Medical Specialty Clinic/Center
  • Conway, AR
  • NPI 1891245221
  Medicare reassignment Care Compare group
• Howard Memorial Hospital

  • Surgery Physician
  • Nashville, AR
  • NPI 1215102702
  Medicare reassignment NPD
• Howard Memorial Hospital

  • Clinical Neuropsychologist
  • Nashville, AR
  • NPI 1104282664
  NPD
• Ottumwa Health Group LLC

  • Rural Health Clinic/Center
  • Ottumwa, IA
  • NPI 1336919364
  NPD
• Ottumwa Health Group LLC

  • Gynecology Physician
  • Ottumwa, IA
  • NPI 1386956290
  NPD
• Howard Memorial Hospital

  • Family Medicine Physician
  • Nashville, AR
  • NPI 1467852210
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Conway Community Services

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1285005140
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1073764403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316",
            "telephone_number": "501-329-1415",
            "fax_number": "501-329-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 240",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327004",
            "telephone_number": "501-329-1415",
            "fax_number": "501-329-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONJI",
        "first_name": "BERTRAND",
        "middle_name": "BEZANCHONG TEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-11895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Flood, RECOVERY ASSISTANT
• Brian Florez, RECOVERY ASSISTANT
• Joniya Jobree Flowers, OTD
• Stacy Floyd
• Kuna Tiga Fombutu Epse Okong, MD
• Steven Wayne Forbush, P.T.
• Trudy Davis Forbush, PHYSICAL THERAPIST
• Charlanda Ford, LPC
• Chelcie Ford, M.S. CF-SLP
• Madeline Jane Ford

• Surgery Physician in Conway, AR
• Providers in Conway, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.