Active NPI
Prum Healthcare LTD
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1730075045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRUM HEALTHCARE LTD
- Practice address
- 8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429 - Phone
- (702) 660-2024
- NPI assigned
- Jun 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andra Prum, DO
- Title
- Owner
- Phone
- (702) 660-2024
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429
Mailing address
11700 W Charleston Blvd Ste 170
Las Vegas, NV 89135-1575
Phone (702) 660-2024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11700 W Charleston Blvd
Ste 597
Las Vegas, NV 89135
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1326026824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1730075045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11700 W CHARLESTON BLVD STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351575",
"telephone_number": "702-660-2024",
"fax_number": "701-203-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8905 W POST RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482429",
"telephone_number": "702-660-2024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUM HEALTHCARE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-13",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "PRUM",
"authorized_official_first_name": "ANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-660-2024",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.