Bryan J Prudhomme

MD | Pediatrics | Male

Bryan J Prudhomme, MD is a Johnson City, Tennessee based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Bryan J Prudhomme is 301 Med Tech Pkwy, Ste. 180, Johnson City, Tennessee - 37604. He can be contacted on phone at 423-794-5540 and fax number 423-926-3187. Bryan J Prudhomme is a sole proprietor of his business.
NPI number (Unique professional ID) for Bryan J Prudhomme is 1528270816 which was assigned by NPPES on 07 May, 2007 and it was last updated on 11 Jul, 2018. Bryan J Prudhomme license number is 42204 for Pediatrics (208000000X) in Tennessee.
Bryan J Prudhomme is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Bryan J Prudhomme basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Bryan J Prudhomme
Credential :MD
Gender :Male
Business Address:
Bryan J Prudhomme address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :301 Med Tech Pkwy, Ste. 180
Johnson City, TN, 37604
United States
Phone Number :423-794-5540
Fax Number :423-926-3187
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.
NPI Number : 1528270816
NPI Entity Type : Individual
First Enrolment Date : 07 May, 2007
Last Updated On : 11 Jul, 2018
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bryan J Prudhomme are as mentioned. Primary taxonomy code for Bryan J Prudhomme, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes42204TN
Legacy Identifiers:
Other legacy medical identifiers of Bryan J Prudhomme such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
3000368MEDICAIDTN
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 3889
Johnson City, TN, 37602-3889
United States
Phone Number :423-794-5540
Fax Number :423-926-3187
Business Location:
Patients can refer following map for directions to Bryan J Prudhomme practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.