DR. BRUCE M HAIRSTON (NPI# 1679517981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679517981 |
| Entity Type | Individual |
| Full Name | DR. BRUCE M HAIRSTON |
| Credential | MD |
| Practice Address |
266 Joule St Alcoa TN 37701-2422 |
| Mailing Address |
103 W Broadway Ave Maryville TN 37801-4703 |
| Practice Telephone | 8659843864 |
| Practice Fax Number | 8653804095 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD047481 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1523891 | 05 |
| Street Address |
266 JOULE ST |
| City | ALCOA |
| State | TN |
| Zip Code | 37701-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590943 | James Bradley Ray | Surgery | 266 Joule St, Alcoa, TN 37701-2422 | 2005-07-05 |
| 1831745371 | Julia Renee Zimmerman | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2019-08-12 |
| 1275190449 | Mark A Reiff | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2019-05-23 |
| 1487114955 | Caroline H Lutz | Registered Nurse | 266 Joule St, Alcoa, TN 37701-2422 | 2019-03-21 |
| 1427533488 | Jacob West | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-26 |
| 1740763184 | Sara Rowe | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-12 |
| 1568954329 | Emma Rose Niethammer | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-06-06 |
| 1922596261 | Victoria Sissom | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-04-23 |
| 1154818672 | Katherine Whaley | Physician Assistant | 266 Joule St, Alcoa, TN 37701 | 2018-04-19 |
| 1518482850 | Daniel Hill Dominique | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2017-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
| 1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
| 1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
| 1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
| 1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
| 1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
| 1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
| 1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
| 1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
| 1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
| Find all providers in zip 37701 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720616915 | Isaac Spine, Joint & Pain Institute | Physical Medicine & Rehabilitation | 2004 Hayes St Ste 655, Nashville, TN 37203-2646 | 2020-04-01 |
| 1558880286 | Healthcare Resources Management LLC | Physical Medicine & Rehabilitation | 74 Lebanon Hwy, Carthage, TN 37030-2954 | 2017-09-13 |
| 1245606110 | Lauren Frommert | Physical Medicine & Rehabilitation | 419 Steam Plant Rd, Gallatin, TN 37066-3027 | 2015-08-14 |
| 1073855573 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 1608 Williams Dr Ste 300, Murfreesboro, TN 37129-3195 | 2013-03-22 |
| 1033386941 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 393 Wallace Rd Ste A204, Nashville, TN 37211-4983 | 2008-05-09 |
| 1225214307 | Elmer G. Pinzon | Physical Medicine & Rehabilitation | 110 Center Park Dr, Ste 102 & 103, Knoxville, TN 37922-2114 | 2008-01-18 |
| 1104837327 | Thomas Scott Baker | Physical Medicine & Rehabilitation | 1423 W Baddour Pkwy, Lebanon, TN 37087-3061 | 2006-08-11 |
| 1174504294 | Sheng Tchou | Physical Medicine & Rehabilitation | 411 Princeton Rd, Suite 101, Johnson City, TN 37601-2049 | 2005-11-07 |
| 1720541402 | Tennessee Integrative Pain Institute Plc | Physical Medicine & Rehabilitation | 5073 Main St Ste 200, Spring Hill, TN 37174-2738 | 2019-04-10 |
| 1083154819 | Interventional Pain Center, Pllc | Physical Medicine & Rehabilitation | 3443 Dickerson Pike, Suite 730, Nashville, TN 37207-2519 | 2017-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.