Jeffrey Leon Pruski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5291 Issued in TX

Practice address

100 Medical Center Pkwy Ste 100
Huntsville, TX 77340-4959

Phone

(936) 295-1777

Fax

(936) 295-3680

NPI assigned

Sep 25, 2006

Last updated

May 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joint & Spine Center PA

  • Chiropractor
  • Huntsville, TX
  • NPI 1356462915
  Medicare reassignment Authorized official
• Huntsville Integrated Pain Solutions PLLC

  • Physical Medicine & Rehabilitation Physician
  • Huntsville, TX
  • NPI 1043047442

  Multi-Specialty

  NPD Authorized official
• Fox Medical

  • Specialist
  • Huntsville, TX
  • NPI 1235679135
  Authorized official Same address or phone
• Huntsville Wound Care PLLC

  dba Full Spectrum Wound Care Alliance

  • Internal Medicine Physician
  • Huntsville, TX
  • NPI 1851114136

  Multi-Specialty

  NPD
• Regenerative Repair and Relief, PLLC

  • Physical Medicine & Rehabilitation Physician
  • The Woodlands, TX
  • NPI 1164911889

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1801996020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PKWY STE 100",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404959",
            "telephone_number": "936-295-1777",
            "fax_number": "936-295-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PKWY STE 100",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404959",
            "telephone_number": "936-295-1777",
            "fax_number": "936-295-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSKI",
        "first_name": "JEFFREY",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5291",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "5291",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "5291",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "TX",
            "license": "5291",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "5291",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "TX",
            "license": "5291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS I.D.",
            "identifier": "84V270",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D.",
            "identifier": "760316834",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharmila Pokharel, NP
• Polysom Services
• Praxair Healthcare Services, Inc
• David A Prier, M.D.
• Robert Michael Prince, O.D.
• Roanne Maree Pueyo, PHARMD
• Pulse Physician Organization PLLC
• Push Medical Services
• Push Medical Services
• Push Medical Services & Laboratory

• Chiropractor in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.