Bryan J Prudhomme in Johnson City - Pediatrics
Bryan J Prudhomme - NPI 1528270816
Bryan J Prudhomme is a Pediatrics in Johnson City, Tennessee. Bryan J Prudhomme practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bryan J Prudhomme is 1528270816. The last update date is 2018-07-11.
Bryan J Prudhomme's current location address is Po Box 3889, Johnson City, Tennessee. You can contact this provider via phone number 4237945540 and fax number 4239263187. The mailing address for Bryan J Prudhomme is Po Box 3889, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan J Prudhomme |
|---|---|
| Address | Po Box 3889, Johnson City, Tennessee |
| Phone Number | 4237945540 |
| Fax Number | 4239263187 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528270816 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2018-07-11 |
Provider Mailing Address Detail
| Address | Po Box 3889 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376023889 |
| Phone Number | 4237945540 |
| Fax Number | 4239263187 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 42204 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3000368 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bryan J Prudhomme?
The Bryan J Prudhomme has been issued the NPI (National Provider Identifier) 1528270816 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Bryan J Prudhomme's physical address?
The Bryan J Prudhomme is physically located at Po Box 3889, in the city of Johnson City, TN, with the postal code 376023889.
What is Bryan J Prudhomme's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan J Prudhomme is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date was the 1528270816 assigned to Bryan J Prudhomme?
The Bryan J Prudhomme was issued its 1528270816 on 2007-05-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Bryan J Prudhomme's information last updated?
The Bryan J Prudhomme's information was last updated on 2018-07-11.