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PRODIGAL PRIMARY CARE PC
NPI 1740534049
Durable Medical Equipment & Medical Supplies in Knoxville, TN

Active since November 08, 2012
901 MERCHANT DR, KNOXVILLE, TN 37912(865) 474-1053(865) 951-2401 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prodigal Primary Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRODIGAL PRIMARY CARE PC (NPI 1740534049) is a healthcare organization registered as a durable medical equipment & medical supplies in Knoxville, Tennessee and active in the NPI registry since November 2012. The organization lists David E Brickhouse, Pa, as its authorized official.

NPPES Registry Identity

NPI1740534049
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRODIGAL PRIMARY CARE PC
Location Address901 MERCHANT DRKnoxville, TN 37912-3862
Mailing Address2911 Essary DrKnoxville, TN 37918-2468 · (865) 288-3754 · Fax (865) 243-2250
Phone(865) 474-1053
Fax(865) 951-2401
Organization SubpartNo
Authorized OfficialDavid E BrickhousePa · (865) 288-3754
Enumeration DateNovember 8, 2012
Last NPPES UpdateNovember 1, 2013
✔ NPI 1740534049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
901 MERCHANT DR, Knoxville, TN 37912
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Other Identifiers 1

Medicare NSC6704650002TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOGAN DAMERON
Nurse Practitioner
901 MERCHANT DR
KNOXVILLE, TN 37912
Knox County (865) 687-2277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prodigal Primary Care PC's NPI number?

The NPI number for Prodigal Primary Care PC is 1740534049. It was assigned to this organization in the NPPES registry on November 8, 2012.

Where is Prodigal Primary Care PC located?

Prodigal Primary Care PC is located at 901 Merchant Dr, Knoxville, TN 37912. The listed phone number is (865) 474-1053.

What is Prodigal Primary Care PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Prodigal Primary Care PC was last updated on November 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.