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PRODIGAL PRIMARY CARE PC
NPI 1881033959
Durable Medical Equipment & Medical Supplies in Maynardville, TN

Active since June 21, 2013
598 JOHN DEERE DR, MAYNARDVILLE, TN 37807(865) 288-3754(865) 745-1873 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 1881033959) is a healthcare organization registered as a durable medical equipment & medical supplies in Maynardville, Tennessee and active in the NPI registry since June 2013. The organization lists David E Brickhouse, Pa, as its authorized official.

NPPES Registry Identity

NPI1881033959
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRODIGAL PRIMARY CARE PC
Location Address598 JOHN DEERE DRMaynardville, TN 37807-3212
Mailing Address2911 Essary DrKnoxville, TN 37918-2468 · (865) 394-6706 · Fax (865) 394-6719
Phone(865) 288-3754
Fax(865) 745-1873
Organization SubpartNo
Authorized OfficialDavid E BrickhousePa · (865) 288-3754
Enumeration DateJune 21, 2013
Last NPPES UpdateNovember 1, 2013
✔ NPI 1881033959 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.
598 JOHN DEERE DR, Maynardville, TN 37807
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Other Identifiers 1

Medicare NSC6704650004TN

Other Providers at the Same Location NPPES 5

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

UCSC PRIMARY CARE - UNION COUNTY LLC
Contractor
598 JOHN DEERE DR
MAYNARDVILLE, TN 37807
Union County (865) 951-2012
UCSC PRIMARY CARE
Nurse Practitioner (Family)
598 JOHN DEERE DR
MAYNARDVILLE, TN 37807
Union County (865) 992-6060
MRS. KAYLA RENEE BRUMMITTE NEWCOMB FNP-C, BSN, RN
Nurse Practitioner (Family)
598 JOHN DEERE DR
MAYNARDVILLE, TN 37807
Union County (865) 745-1868
HOLLY APODACA PA-C
Physician Assistant
598 JOHN DEERE DR
MAYNARDVILLE, TN 37807
Union County (865) 992-6060
UNION FAMILY MEDICINE
Physician Assistant
598 JOHN DEERE DR
MAYNARDVILLE, TN 37807
Union County (865) 992-6060

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 1881033959. It was assigned to this organization in the NPPES registry on June 21, 2013.

Where is Prodigal Primary Care PC located?

Prodigal Primary Care PC is located at 598 John Deere Dr, Maynardville, TN 37807. The listed phone number is (865) 288-3754.

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.