Individual provider Active NPI

Jennifer Elyse Bondurant, M.D.

  • Pediatrics Physician
  • Brentwood, TN
National Provider Identifier
1366416075
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD0000033870 Issued in TN
Practice address
5056 Thoroughbred LN
Brentwood, TN 37027-4225
Phone
(615) 373-3337
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD0000033870 TN Primary

Addresses

Primary practice location

5056 Thoroughbred LN
Brentwood, TN 37027-4225

Mailing address

5240 Beech Ridge Rd
Nashville, TN 37221-4061
Phone (615) 373-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 29, 2017 through Aug 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000033870TNMDPediatrics Physician
33870TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Farms Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366416075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 BEECH RIDGE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214061",
            "telephone_number": "615-373-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 THOROUGHBRED LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274225",
            "telephone_number": "615-373-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDURANT",
        "first_name": "JENNIFER",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000033870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.