Individual provider Active NPI

Mark Steven Mehlferber, PAC

  • Medical Physician Assistant
  • Bristol, TN
National Provider Identifier
1487724936
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
P14842 Issued in TN
Practice address
320 Bristol West Blvd Ste 2B
Bristol, TN 37620-8765
Phone
(423) 844-6407
Fax
(866) 285-5248
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X P14842 TN Primary
Surgical Physician Assistant 363AS0400X TNP14842 TN

Addresses

Primary practice location

320 Bristol West Blvd Ste 2B
Bristol, TN 37620-8765

Mailing address

PO Box 17016
Bristol, VA 24209-7016
Phone (423) 844-6407

Other identifiers 3

IdentifierTypeStateIssuer
4107910OtherTNBC & BS SURGICAL
TN0103OtherTNJOHN DEERE
4107899OtherTNBC & BS MEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000883 TN Practitioner - Physician Assistant 9537195284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

320 Bristol W Blvd
Bristol, TN 37620-8773

322 Steeles Rd
Bristol, TN 37620-9532
Phone (423) 217-1360

350 Steeles Rd
Unit 1
Bristol, TN 37620-9532
Phone (423) 844-4925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
P14842TNMDMedical Physician Assistant
TNP14842TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group PC CurrentSince Oct 9, 2023 Accepting new patients
New Smyrna Orthopedics PA PastSince Nov 4, 1997 Accepting new patients
Jimmy C. Brasfield, PC Past Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

1 Medical Park Blvd
Ste 250W
Bristol, TN 37620
Phone (423) 844-6407

320 Bristol West Blvd
Ste 2B
Bristol, TN 37620
Phone (423) 844-6407

Organizations & group practices 3

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487724936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17016",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242097016",
            "telephone_number": "423-844-6407",
            "fax_number": "866-285-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BRISTOL WEST BLVD STE 2B",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376208765",
            "telephone_number": "423-844-6407",
            "fax_number": "866-285-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLFERBER",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "P14842",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "TNP14842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS SURGICAL",
            "identifier": "4107910",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0103",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS MEDICAL",
            "identifier": "4107899",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.