Bruce M Hairston, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD047481 Issued in TN

Practice address

266 Joule St
Alcoa, TN 37701-2422

Phone

(865) 984-3864

Fax

(865) 380-4095

NPI assigned

Jun 16, 2006

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

77.77 of 100Reported as group

Quality

58.61

Promoting interoperability

92

Improvement activities

40

Cost

73.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Pain and Physical Medicine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Galloway, NJ
  • NPI 1578505830
  NPD (past) Authorized official
• Midstate Medical Associates PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1821346107
  NPD (past)
• Ortho Sport & Spine Physicians of Tennessee, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Nashville, TN
  • NPI 1821706979
  NPD (past)
• Synergy Health Systems, PLLC

  • Family Medicine Physician
  • Farragut, TN
  • NPI 1124346762
  NPD (past)
• Tennessee Innovative Medical Services PLLC

  • Vascular & Interventional Radiology Physician
  • Knoxville, TN
  • NPI 1114285400
  NPD (past)
• Ortho Sport & Spine Physicians of South Carolina, LLC

  • Physical Medicine & Rehabilitation Physician
  • North Charleston, SC
  • NPI 1497463400
  NPD (past)
• Primary Care & Rehabilitation PC

  dba Center for Pain Management

  • Pain Medicine Physician
  • Cherry Hill, NJ
  • NPI 1255446407
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1679517981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014703",
            "telephone_number": "865-273-1752",
            "fax_number": "865-273-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 JOULE ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012422",
            "telephone_number": "865-984-3864",
            "fax_number": "865-380-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "BRUCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "MD047481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523891",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hamilton Gray
• Sydney Green, PA-C
• Travis John Groth, D.O.
• Emory Chasare Gwyn
• Christine Louise Hagen, MD
• Mariah Shyanne Hall Phillips
• Marki Lee Hall
• Julie Lynn Hamlin, LCSW
• Amber Garland Hampton, MD
• Shelby Briann Grover Hank, R.N.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.