Individual provider Active NPI

Brian Bonnyman, MD

  • Family Medicine Physician
  • Seymour, TN
National Provider Identifier
1871505685
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024276 Issued in TN
Practice address
10731 Chapman Hwy
Seymour, TN 37865-4765
Phone
(865) 573-0698
Fax
(865) 573-3174
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 024276 TN Primary

Addresses

Primary practice location

10731 Chapman Hwy
Seymour, TN 37865-4765

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Other practice location 1

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070510000627 TN Practitioner - Family Practice 5799881546 Reassigns benefits to 1 organization
I20180222001765 TX Practitioner - Family Practice 5799881546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Health SystemsGroup PAC ID 3577474295, shared by 22 NPIs, 128 clinicians

Practice addresses (Care Compare)

10731 Chapman Hwy
Seymour, TN 37865-4765
Phone (865) 573-0698

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605

880 Rutledge Pike
Blaine, TN 37709-2317
Phone (865) 933-4110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024276TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix CurrentSince Feb 8, 2018 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
University of Tennessee Past Accepting new patients
University Health System, Inc Past Accepting new patients
Cherokee Health Systems Family Medicine Past Accepting new patients
Cherokee Health Systems Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brian.bonnyman.p1@direct.cherokeehealth.nextgenshare.com
  • Direct secure messaging: brian.bonnyman.1@16930.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1871505685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "423-317-9344",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10731 CHAPMAN HWY",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654765",
            "telephone_number": "865-573-0698",
            "fax_number": "865-573-3174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Joule St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012422",
            "country_code": "US",
            "telephone_number": "865-984-3864",
            "fax_number": "865-380-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNYMAN",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "024276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

Verify at the official NPI Registry.