Healthcare Provider Details

I. General information

NPI: 1215270301
Provider Name (Legal Business Name): WILLIAM MCBRIDE PRYOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 MEMORIAL DR
WINCHESTER TN
37398-2401
US

IV. Provider business mailing address

83 MEMORIAL DR
WINCHESTER TN
37398-2401
US

V. Phone/Fax

Practice location:
  • Phone: 931-967-3966
  • Fax: 931-962-0373
Mailing address:
  • Phone: 931-967-3966
  • Fax: 931-967-3966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number31035
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number57177
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: