NPIMap

Organization Active NPI

Bart Pruitt DO

  • Primary Care Clinic/Center
  • Winnsboro, TX
National Provider Identifier
1073959102
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K3403 Issued in TX
Legal business name
BART PRUITT DO
Practice address
719 W Coke Rd
Mob 2
Winnsboro, TX 75494-3060
Phone
(903) 342-9800
Fax
(903) 342-9809
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Bart Pruitt, DO
Title
Owner
Phone
(903) 342-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K3403 TX Primary

Addresses

Primary practice location

719 W Coke Rd
Mob 2
Winnsboro, TX 75494-3060

Mailing address

PO Box 12251
Belfast, ME 04915-4013
Phone (903) 342-9800

Other names 1

  • Dr Bart Pruitt Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1073959102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12251",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154013",
            "telephone_number": "903-342-9800",
            "fax_number": "903-342-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W COKE RD",
            "address_2": "MOB 2",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943060",
            "telephone_number": "903-342-9800",
            "fax_number": "903-342-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BART PRUITT DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-342-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K3403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Bart Pruitt",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.