Buddy Lee Purvis

Primary specialty

SpecialistTaxonomy code 174400000X

License

19235 Issued in OR

Practice address

1814 Cal Young Rd Apt 92
Eugene, OR 97401-2018

Phone

(541) 214-4967

NPI assigned

Mar 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1720320336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CAL YOUNG RD APT 92",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012018",
            "telephone_number": "541-214-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CAL YOUNG RD APT 92",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012018",
            "telephone_number": "541-214-4967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 W 11th Ave Apt 4",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974027761",
            "country_code": "US",
            "telephone_number": "541-214-4967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "BUDDY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT-19235",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "19235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Health and Wellness LLC
• Pure Healthcare of Oregon LLC
• Pure Infusion of Oregon LLC
• Pure Life Chiropractic, LLC
• Gina Marie Purl
• Mattox L Purvis,Jr., M.D.
• Rian Thistle Pygin
• Emily Pyle
• Q Street Internists LLC
• Teresa Rae Quackenbush-Benson

• Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.