Linden Cedric Fernando, MC, PLLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

17808 Issued in TN

Legal business name

LINDEN CEDRIC FERNANDO, MC, PLLC

Practice address

2726 W State St
Bristol, TN 37620-1827

Phone

(423) 758-6744

Fax

(423) 758-6741

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Judy A Henegar

Title

Billing and Crendentialing

Phone

(423) 341-2570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1356832364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 W STATE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201827",
            "telephone_number": "423-758-6744",
            "fax_number": "423-758-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 W STATE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201827",
            "telephone_number": "423-758-6744",
            "fax_number": "423-758-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN CEDRIC FERNANDO, MC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "HENEGAR",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING AND CRENDENTIALING",
        "authorized_official_telephone_number": "423-341-2570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "17808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S. Levine, M.D.
• Alyson Elizabeth Lewis, PA-C, ATC
• Vickie Karon Lewis, NP
• Austin Light, BCBA
• Dana Lorene Lindamood, RDH
• Susan Marie Lindsey, M.ED., L.M.F.T.
• Alan Linkous, RPH
• Edileyne V Linville
• Brianna Lisenbee, MS RD LDN
• Frederick Mitchell Litton, MD

• Addiction Medicine (Family Medicine) Physician in Bristol, TN
• Providers in Bristol, TN by specialty
• Addiction Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.