NPI 1104135128
Pedro a Bauza-Feliciano, MD
Practice location
- Address
- 2000 Brookside Dr, Kingsport, TN 37660-4627
- Phone
- (423) 857-7000
- Mailing address
- 1021 W Oakland Ave STE 310, Johnson City, TN 37604-2192
Registered specialties (6)
Psychiatry Physician
Primary
Psychiatry Physician
Psychiatry Physician
Psychiatry Physician
Psychiatry Physician
Psychiatry Physician
Registry record
- NPI
- 1104135128
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Sep 2010
- Record last updated
- 28 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.