Bruce M Hairston (NPI# 1679517981, PAC ID# 5395772693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1679517981 |
| PAC ID by PECOS | 5395772693 |
| Professional Enrollment ID | I20110628000456 |
| Full Name | Bruce M Hairston |
| Organization Legal Name | BLOUNT MEMORIAL PHYSICIAN GROUP INC |
| Address |
266 Joule St Alcoa TN 37701-2422 |
| Phone Number | 8659843864 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 6406844174 |
| Number of Group Practice Members | 185 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440011 | BLOUNT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 266 Joule St, Alcoa, TN 37701-2422 | 8659843864 | BLOUNT MEMORIAL PHYSICIAN GROUP INC |
| 458 Bmh Physicians, Office Bldg, Maryville, TN 37804-5821 | 8659805355 | BLOUNT MEMORIAL PHYSICIAN GROUP INC |
| Organization Legal Name | BLOUNT MEMORIAL PHYSICIAN GROUP INC |
| Physicians | 187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heath Long | Nurse Practitioner | Blount Memorial Physician Group Inc | 355 Bmh Physician, Office Bldg, Maryville, TN 37804-5820 |
| Rebecca Sue Lavelle | Urology | Blount Memorial Physician Group Inc | 425 Bmh Physicians, Office Bldg, Maryville, TN 37804-5807 |
| John T Gay | Dermatology | Blount Memorial Physician Group Inc | 232 Associates Blvd, Alcoa, TN 37701-1943 |
| Lauren E Cline | Internal Medicine | Blount Memorial Physician Group Inc | 230 Associates Blvd, Alcoa, TN 37701-1943 |
| Benjamin P Blodgett | Podiatry | Blount Memorial Physician Group Inc | 463 Bmh Physician, Office Bldg, Maryville, TN 37804-5807 |
| Robert M Jones | Critical Care (intensivists) | Blount Memorial Physician Group Inc | 365 Bmh Physicians, Office Bldg, Maryville, TN 37804-5820 |
| Paul Harvey Holcomb Jr. | Cardiovascular Disease (cardiology) | Blount Memorial Physician Group Inc | 162 Bmh Physician, Office Bldg, Maryville, TN 37804-5902 |
| Kellie R Gaby | Nurse Practitioner | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Sarah E Smith | Endocrinology | Blount Memorial Physician Group Inc | 370 Bmh Physicians, Office Bldg, Maryville, TN 37804-5819 |
| William E Lyles | Gastroenterology | Blount Memorial Physician Group Inc | 349 Bmh Physicians, Office Bldg, Maryville, TN 37804-5820 |
| Street Address |
266 JOULE ST |
| City | ALCOA |
| State | TN |
| Zip | 37701-2422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellie R Gaby | Nurse Practitioner | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Melanie L. Bankerd | Nurse Practitioner | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Matthew C Wilks | Physician Assistant | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Lee E Naramore | Psychiatry | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Carrie V Brass | Physician Assistant | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Richard M Gaddis | Internal Medicine | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Joel E Norman | Neurosurgery | Covenant Medical Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Lori M Kirkland | Nurse Practitioner | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Olivia F Mcginley | Physician Assistant | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Mark E Green | General Practice | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melodie Dahl | Nurse Practitioner | Anesthesiology and Pain Management Consultants Inc | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-0024 |
| Olga Mallicoat | Nurse Practitioner | Anesthesiology and Pain Management Consultants Inc | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-0024 |
| Deena L White | Physical Therapy | Mcm Rehabilitation LLC | 721 Louisville Rd, Alcoa, TN 37701-1833 |
| Khaled O Abumayaleh | Optometry | 1030 Hunters Xing Dr, Alcoa, TN 37701-1849 | |
| Brent A Webb | Family Practice | Afc Physicians of Tennessee PC | 1015 Hunters Xing, Alcoa, TN 37701-1850 |
| Edward B Tieng Jr. | Urology | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Renee Bailey Quillin | Urology | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Jeff E Flickinger | Urology | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Carol D Crye | Nurse Practitioner | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| John T Gay | Dermatology | Blount Memorial Physician Group Inc | 232 Associates Blvd, Alcoa, TN 37701-1943 |
| Find all physicians in zip 37701 | |||
| City | ALCOA |
| Zip Code | 37701 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | ALCOA + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Bruce M Hairston.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.