Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael B Prudhomme, MD

Individual provider Aerospace Medicine Physician · NPI 1942365549

Dr. Michael B Prudhomme, MD is an Aerospace Medicine Physician in Portsmouth, Virginia. Practices as a sole proprietor. Licensed in Arizona and Indiana.

Licensed in
AZ, IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (928) 269-5657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 36179 (AZ)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 01060410A (IN)
Preventive Medicine/Occupational Environmental Medicine Physician Taxonomy 2083P0500X · Licence 01060410A (IN)

Record details

NPI number1942365549
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 26, 2006
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

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