Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Bryan J Prudhomme, MD

Pediatrics Physician in Johnson City, TN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528270816

Verified

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Registry record

Entity type Individual (Type 1)

Name Bryan J Prudhomme

Credential MD

Sex Male

Practice address 301 Med Tech Pkwy, Ste. 180, Johnson City, TN, 37604

Phone (423) 794-5540

Fax (423) 926-3187

Enumeration date May 7, 2007

Last updated in NPPES Feb 21, 2025

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 42204 (TN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
3000368	Medicaid	TN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Bryan Prudhomme?

The National Provider Identifier (NPI) for Bryan Prudhomme is 1528270816, a Type 1 (individual) record in the CMS NPPES registry.

Where does Bryan Prudhomme practice?

The practice location on file with NPPES is in Johnson City, TN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-21.