BRYAN J PRUDHOMME MD
NPI 1528270816
Pediatrics in Johnson City, TN
NPI Status: Active since May 07, 2007
Contact Information
301 MED TECH PKWY
STE. 180
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 794-5540
Fax: (423) 926-3187
- Individual
- Male
- Pediatrics
- Accepts Insurance
About BRYAN PRUDHOMME
This page provides the complete NPI Profile along with additional information for Bryan Prudhomme, a pediatrician established in Johnson City, Tennessee with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1528270816 assigned on May 2007. The practitioner's primary taxonomy code is 208000000X with license number 42204 (TN). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1528270816
- Provider Name
- BRYAN J PRUDHOMME MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 301 MED TECH PKWY STE. 180 JOHNSON CITY, TN 37604
- Location Phone
- (423) 794-5540
- Location Fax
- (423) 926-3187
- Mailing Address
- PO BOX 632476 CINCINNATI, OH 45263
- Mailing Phone
- (423) 794-5540
- Mailing Fax
- (423) 926-3187
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-07-2007
- Last Update Date
- 02-21-2025
- Code Navigator
A pediatrician like Bryan Prudhomme is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 42204
- License State
- TN
- Taxonomy Description
- 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 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3000368 | MEDICAID (05) | TN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 2 | 7 | 0 | 8 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 4 | 7 | 0 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 4 + 7 + 0 + 8 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1528270816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417952656 | DAVID P ROE M.D. Individual | Obstetrics & Gynecology | 301 MED TECH PKWY JOHNSON CITY, TN 37604 (423) 794-5500 |
| 1063417194 | BRIAN H DUNKELBERGER M.D. Individual | Obstetrics & Gynecology | 301 MED TECH PKWY STE. 200 JOHNSON CITY, TN 37604 (423) 794-1300 |
| 1740285881 | WILLIAM A BRIDGFORTH M.D. Individual | Pediatrics | 301 MED TECH PKWY STE. 180 JOHNSON CITY, TN 37604 (423) 794-5540 |
| 1992700041 | BOYCE M BERRY M.D. Individual | Pediatrics | 301 MED TECH PKWY SUITE 180 JOHNSON CITY, TN 37604 (423) 794-5540 |
| 1366440307 | DR. SHOKO HANSEN M.D. Individual | Internal Medicine | 301 MED TECH PKWY STE. 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
| 1851392153 | LINDSAY MESSINGER M.D. Individual | Radiology (Diagnostic Radiology) | 301 MED TECH PKWY STE 100 JOHNSON CITY, TN 37604 (423) 794-5580 |
| 1093041865 | MIRANDA G WORLEY PA-C Individual | Physician Assistant (Medical) | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
| 1487983003 | MOUNTAIN STATES HEALTH ALLIANCE Organization | Clinic/Center (Radiology) | 301 MED TECH PKWY SUITE 100 JOHNSON CITY, TN 37604 (423) 610-6226 |
| 1417952250 | MARK L DONOVAN M.D. Individual | Pediatrics | 301 MED TECH PKWY STE. 160 JOHNSON CITY, TN 37604 (423) 794-5560 |
| 1730184524 | TEDFORD TAYLOR M.D. Individual | Pediatrics | 301 MED TECH PKWY STE 160 JOHNSON CITY, TN 37604 (423) 794-5560 |
| 1073960381 | ERIN MCPHERSON Individual | Registered Nurse (Lactation Consultant) | 301 MED TECH PKWY SUITE 160 JOHNSON CITY, TN 37604 (423) 794-5560 |
| 1508021718 | UNNATI M KIRAN MD Individual | Internal Medicine | 301 MED TECH PKWY SUITE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
| 1477558690 | JILL R TALLEY-HORNE M.D. Individual | Obstetrics & Gynecology | 301 MED TECH PKWY STE 200 JOHNSON CITY, TN 37604 (423) 794-1300 |
| 1376548511 | JAMES M PEARSON M.D. Individual | Pediatrics | 301 MED TECH PKWY STE 160 JOHNSON CITY, TN 37604 (423) 794-5560 |
| 1578582607 | MRS. AMY BROCK FLEMING APN Individual | Nurse Practitioner | 301 MED TECH PKWY SUITE 280 JOHNSON CITY, TN 37604 (423) 794-5550 |
| 1104821347 | MARCIA M SENTELL M.D. Individual | Obstetrics & Gynecology | 301 MED TECH PKWY STE 200 JOHNSON CITY, TN 37604 (423) 794-1300 |
| 1023466786 | TRACY ROMANS NP Individual | Nurse Practitioner (Family) | 301 MED TECH PKWY SUITE 240 JOHNSON CITY, TN 37604 (423) 794-5888 |
| 1033114988 | MARK A WILLIAMS MD Individual | Internal Medicine | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
| 1629073846 | KEVIN D SWEET MD Individual | Internal Medicine | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
| 1003872623 | SHELLY J MCINTOSH FNP Individual | Nurse Practitioner (Family) | 301 MED TECH PKWY SUITE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528270816, enumerated in the NPI registry as an "individual" on May 07, 2007
The provider is located at 301 Med Tech Pkwy Ste. 180 Johnson City, Tn 37604 and the phone number is (423) 794-5540
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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