Todd Ryan Bomar

PMHNP-BC | Nurse Practitioner - Psych/Mental Health | 5+ years Exp

1570 Waverly Rd, Kingsport
  Tennessee, 37664-2523
423-224-1300
Accepts Medicare Nurse Anesthetist in Kingsport, Tennessee.
Todd Ryan Bomar is a Kingsport, Tennessee based nurse practitioner with 5 years of experience in Psych/Mental Health. He completed his graduation from University Of Alabama School Of Medicine in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Todd Ryan Bomar is 0024182774 for Psych/Mental Health in Virginia. His current practice location is 1570 Waverly Rd, Kingsport. Patients can reach him at 423-224-1300 or can fax him at 423-467-3644. Todd Ryan Bomar is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1336730084.
Todd Ryan Bomar provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Todd Ryan Bomar speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Todd Ryan Bomar
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Credentials: PMHNP-BC
Experience: 5+ years
Medical School Attended:University Of Alabama School Of Medicine
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:1570 Waverly Rd, Kingsport,
Tennessee, 37664-2523
Phone:423-224-1300
Fax:423-467-3644
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 2769899012
Enrollment ID: I20210402000061
NPI Number: 1336730084
NPI Enumeration Date: 26 Jan, 2021
NPI Last Update On: 27 Feb, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Todd Ryan Bomar are as mentioned below.
License NumberSpecializationStateStatus
0024182774Psych/Mental Health VirginiaPrimary
11011297Psych/Mental Health FloridaSecondary
29138Psych/Mental Health TennesseeSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(441304)Mountain city, TNCritical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Todd Ryan Bomar is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Frontier Health (2860302320)33
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Todd Ryan Bomar
1167 Spratlin Park Dr,
Gray, Tennessee
Zip: 37615-6205
Phone Number: 423-467-3600
Patients can reach Todd Ryan Bomar at 1570 Waverly Rd, Kingsport, Tennessee or can call to book an appointment on 423-224-1300.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.