Grunstra, Bernard

Grunstra, Bernard is an individual health care provider with primary practice located at 350 Steeles Rd , Bristol TN 37620-9532. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grunstra, Bernard can be contacted via phone (423) 844-6700.

Contact Information

Primary practice address
350 Steeles Rd Bristol TN 37620-9532
Fax: (423) 844-6703
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD21854 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD21854 Tennessee

Profile Details

NPI number 1558367417
LBN Legal business name Grunstra, Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Apr 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558367417 NPPES
Virginia MEDICAID 006747531
Virginia Other 103I119101
Virginia Other 110162828
Virginia Other 242839
Virginia Other 3076812

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