Brian T. Pruitt, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

G1161 Issued in TX

Practice address

1500 Wallace Blvd
Amarillo, TX 79106-1794

Phone

(806) 212-4673

Fax

(806) 352-8890

NPI assigned

Jul 19, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1124047097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840048",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840048",
            "telephone_number": "806-212-4673",
            "fax_number": "806-352-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061794",
            "telephone_number": "806-212-4673",
            "fax_number": "806-352-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "BRIAN",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "G1161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "269051YNR6",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137142911",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul L Proffer, M.D.
• Progressive Step Corp
• Prostep at Amarillo
• Jarryn Prowell
• Proz Anesthesia, PLLC
• Jessie Raylene Pruitt, CRT RCP
• Spencer Allen Pruitt, M.D.
• PSG Surgery Center LLC
• Brandon Pshigoda, PHARMD
• Cara Pshigoda, PHARMD

• Medical Oncology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Medical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.