Prodigal Primary Care PC
NPI 1861704371ActiveOrganization· Physician Assistant, Medical· Knoxville, TN
Physician Assistant, Medical in Knoxville, Tennessee, registered in NPPES in July 2010. The authorized official on file is David E. Brickhouse, Owner.
Overview
| NPI | 1861704371 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2010 |
| Last updated in NPPES | Aug 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 1506 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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