Bryan Prudhomme (NPI# 1528270816, PAC ID# 9436241593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1528270816 |
| PAC ID by PECOS | 9436241593 |
| Professional Enrollment ID | I20070817000706 |
| Full Name | Bryan Prudhomme |
| Organization Legal Name | STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC |
| Address |
5 Worth Circle Suite 4 Johnson City TN 37601-4339 |
| Phone Number | 4232824819 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2466346291 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5 Worth Circle, Suite 4, Johnson City, TN 37601-4339 | 4232824819 | STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC |
| 5 Worth Circle, Johnson City, TN 37601-4339 | 4232824819 | STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC |
| Organization Legal Name | STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC |
| Physicians | 145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Long | Nurse Practitioner | State of Franklin Healthcare Associates, Pllc | 101 Med Tech Pkwy, Suite 100, Johnson City, TN 37604-4006 |
| Samantha H Manuel | Nurse Practitioner | State of Franklin Healthcare Associates, Pllc | 313 Princeton Rd, Suite 3, Johnson City, TN 37601-2000 |
| Elizabeth G Humston | Family Medicine | State of Franklin Healthcare Associates, Pllc | 303 Med Tech Pkwy, Johnson City, TN 37604-2391 |
| Christopher R Ledes | Pediatric Medicine | State of Franklin Healthcare Associates, Pllc | 5 Worth Circle, Suite 4, Johnson City, TN 37601-4339 |
| Shelly J Mcintosh | Nurse Practitioner | State of Franklin Healthcare Associates, Pllc | 301 Med Tech Pkwy, Johnson City, TN 37604-2364 |
| Ariel Denton | Nurse Practitioner | State of Franklin Healthcare Associates, Pllc | 313 Princeton Rd, Suite 3, Johnson City, TN 37601-2000 |
| Michael Z Pearson | Internal Medicine | State of Franklin Healthcare Associates, Pllc | 313 Princeton Rd, Suite 3, Johnson City, TN 37601-2000 |
| Tracy Romans | Nurse Practitioner | State of Franklin Healthcare Associates, Pllc | 313 Princeton Rd, Suite 3, Johnson City, TN 37601-2000 |
| Mark A Williams | Internal Medicine | State of Franklin Healthcare Associates, Pllc | 313 Princeton Rd, Suite 3, Johnson City, TN 37601-2000 |
| Paula Smith | Family Medicine | State of Franklin Healthcare Associates, Pllc | 301 Med Tech Pkwy, Johnson City, TN 37604-2364 |
| Street Address |
5 WORTH CIRCLE SUITE 4 |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37601-4339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Ledes | Pediatric Medicine | State of Franklin Healthcare Associates, Pllc | 5 Worth Circle, Suite 4, Johnson City, TN 37601-4339 |
| Lindsay Cooke | Nurse Practitioner | State of Franklin Healthcare Associates, Pllc | 5 Worth Circle, Suite 4, Johnson City, TN 37601-4339 |
| Lisa W Vance | Certified Nurse Midwife | State of Franklin Healthcare Associates, Pllc | 5 Worth Circle, Suite 4, Johnson City, TN 37601-4339 |
| William J Aderhold Jr. | Physician Assistant | State of Franklin Healthcare Associates, Pllc | 5 Worth Circle, Johnson City, TN 37601-4339 |
| Lawrence Morris | Endocrinology | State of Franklin Healthcare Associates, Pllc | 5 Worth Circle, Johnson City, TN 37601-4339 |
| Amy B Fleming | Nurse Practitioner | State of Franklin Healthcare Associates, Pllc | 5 Worth Circle, Suite 4, Johnson City, TN 37601-4339 |
| Kathleen S Jenkins | Nurse Practitioner | State of Franklin Healthcare Associates, Pllc | 5 Worth Circle, Johnson City, TN 37601-4339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Schwichtenberg | Optometry | 2829 E Oakland Av, Suite 1, Johnson City, TN 37601 | |
| Robert W Lawson | Emergency Medicine | 4100 N Roan St, Suite 3, Johnson City, TN 37601-1103 | |
| Kimberly A Costello | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
| Lisa L Fahn | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
| Heather Beaudry | Psychologist, Clinical | 3119 Bristol Hwy, Suite 304, Johnson City, TN 37601-1556 | |
| Philip A Hillman | Chiropractic | 3119 Bristol Hwy, Suite 110, Johnson City, TN 37601-1563 | |
| Elaine L Devos | Physical Medicine and Rehabilitation | 2511 Wesley St, Johnson City, TN 37601-1723 | |
| Joseph K Neumann | Psychologist, Clinical | Robert E Roth Psyd | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Amy S Clark | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Robert E Roth | Psychologist, Clinical | Robert E Roth Psyd | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Find all physicians in zip 37601 | |||
| City | JOHNSON CITY |
| Zip Code | 37601 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | JOHNSON CITY + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Bryan Prudhomme.
| 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.