Bruce A Pendley (NPI# 1881634483, PAC ID# 6709798010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1881634483 |
| PAC ID by PECOS | 6709798010 |
| Professional Enrollment ID | I20031105000019 |
| Full Name | Bruce A Pendley |
| Organization Legal Name | YOUR GOOD HEALTH, LLC |
| Address |
14 Fort Town Dr Fort Oglethorpe GA 30742-4051 |
| Phone Number | 7068664443 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3173615838 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| 110236 | CHI MEMORIAL HOSPITAL - GEORGIA |
| 110001 | HAMILTON MEDICAL CENTER |
| 110023 | GORDON HOSPITAL |
| 110054 | FLOYD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1508 Tombras Ave, East Ridge, TN 37412-2720 | 4238674969 | YOUR GOOD HEALTH, LLC |
| 14 Fort Town Dr, Fort Oglethorpe, GA 30742-4051 | 7068664443 | YOUR GOOD HEALTH, LLC |
| 6553 Hwy 41, Ringgold, GA 30736-2641 | 7069372777 | PRIORITY CARE MEDICAL CENTER |
| Organization Legal Name | YOUR GOOD HEALTH, LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul D Wentland | Internal Medicine | Your Good Health, LLC | 14 Fort Town Dr, Fort Oglethorpe, GA 30742-4051 |
| Anne R Neumann | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Minna Deluca | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Sabrina M Stover | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Amin S Sohani | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Ardyce Ridolfo | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Bruce E Dyer Sr. | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Judith Boggess | Internal Medicine | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Rebecca Dykes Henderson | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Laurie D Davis | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
| Street Address |
14 FORT TOWN DR |
| City | FORT OGLETHORPE |
| State | GA |
| Zip | 30742-4051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul D Wentland | Internal Medicine | Your Good Health, LLC | 14 Fort Town Dr, Fort Oglethorpe, GA 30742-4051 |
| Stephanie N Milsap Johnson | Physical Therapy | The Weston Group Inc | 14 Fort Town Dr, Fort Oglethorpe, GA 30742-4051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg A Willis | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 2009 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 |
| Thomas D Weldon | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 2009 Old Lafayette Rd, Ft Oglethorpe, GA 30742-3510 |
| Amanda J Davenport | Nurse Practitioner | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jennifer Burke Johnson | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jesse Miller Epps Iii | Anesthesiology | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Derek L Duran | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Kenneth M Watson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jeremy D Johnston | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Michael C Preston | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Shannon Heath Trowell | Internal Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Find all physicians in zip 30742 | |||
| City | FORT OGLETHORPE |
| Zip Code | 30742 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT OGLETHORPE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bruce A Pendley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.