Individual
DR. BRUCE ALLEN PENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Mailing address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25137
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083104
—
TN
01
—
4161986
BCBS - TENNESSEE
TN
01
—
E16159
HEALTHSPRING
TN
01
—
P00227552
RAILROAD MEDICARE
TN
01
—
TN0105
JOHN DEERE HEALTH
TN
Enumeration date
06/08/2006
Last updated
03/10/2026
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