1508 TOMBRAS AVE
EAST RIDGE, TN 37412-2720 US PECOS Enrolled
Bruce Allen Pendley
Family Medicine Physician
- EAST RIDGE, TN
- Phone: (423)-867-4969
- Last Updated 9/12/2014
Overview
Bruce Allen Pendley is a Family Medicine Physician in the EAST RIDGE area and has over 37 years of experience. Bruce Allen Pendley primary office location is at 1508 TOMBRAS AVE and new patients are welcome to contact this healthcare provider for an appointment. He attended Medical College Of Georgia School Of Medicine and graduated 1987
Bruce Allen Pendley is affiliated with thirteen hospitals in the EAST RIDGE area, including . The NPI number is 1881634483 and the information was updated approximately 10 years ago.
Bruce Allen Pendley is part of two medical groups, including PRIORITY CARE MEDICAL CENTER.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 25137 | TN |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 3083104 | TN |
| JOHN DEERE HEALTH | TN0105 | TN |
| RAILROAD MEDICARE | P00227552 | TN |
| BCBS - TENNESSEE | 4161986 | TN |
| HEALTHSPRING | E16159 | TN |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | TN | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20031105000019 |
| PECOS Individual PAC ID: | 6709798010 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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