DR. MICHAEL B PRUDHOMME MD NPI 1942365549

NPI Information

NPI: 1942365549
Provider Name: DR. MICHAEL B PRUDHOMME, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23708
Phone: (928) 269-5657
Get Directions

DR. Michael B Prudhomme, MD is a general practice in Portsmouth, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Michael B Prudhomme, MD NPI is 1942365549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23708-111
Phone: (928) 269-5657

The NPI 1942365549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 10/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083A0100X	Preventive Medicine	Aerospace Medicine	01060410A	INDIANA	No
2	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	01060410A	INDIANA	No
3	208D00000X	General Practice		36179	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »