Bryan Prudhomme, MD
NPI 1528270816 · Pediatrics Physician · Johnson City, TN
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bryan Prudhomme, MD is a Pediatrics Physician provider in Johnson City, TN (NPI 1528270816).
Provider details
- NPI number
- 1528270816
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 42204 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Frequently asked questions
- What is Bryan Prudhomme's NPI number?
- Bryan Prudhomme's National Provider Identifier (NPI) is 1528270816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Prudhomme's specialty?
- Bryan Prudhomme is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Bryan Prudhomme located?
- Bryan Prudhomme's practice location on file with NPPES is 301 Med Tech Pkwy, Johnson City, TN 37604.
- What is Bryan Prudhomme's phone number?
- The practice phone number listed in the NPPES registry for Bryan Prudhomme is (423) 794-5540.
- Does Bryan Prudhomme accept Medicare?
- Bryan Prudhomme is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bryan Prudhomme's NPI active?
- Yes — Bryan Prudhomme's NPI (1528270816) is active in the NPPES registry as of the last update on 2025-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.