Organization
PRODIGAL PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E BRICKHOUSE (OWNER)
(865) 288-3754
Entity
Organization
Contact information
Practice address
2911 ESSARY ROAD, KNOXVILLE, TN 37918-2468
(865) 288-2754
(865) 243-2250
Mailing address
2911 ESSARY ROAD, KNOXVILLE, TN 37918-2468
(865) 288-3754
(865) 243-2250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1506
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521979
—
TN
Enumeration date
07/13/2010
Last updated
08/21/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us