Dr. Adam J Pruett, MD
Psychiatry & Neurology, Psychiatry in Manchester, Vermont
1609050756- Practice location
- 4384 Main Street, Manchester, VT 05254-8945
- Phone
- 802-768-9136
- Fax
- 802-662-2173
- Last updated
- June 6, 2023
Adam J Pruett is a Psychiatry & Neurology, Psychiatry based in Manchester, VT. Adam J Pruett practices in Manchester, VT and has the professional credentials of MD. The NPI Number for Adam J Pruett is 1609050756 and holds a License No. 059863 (GA). The current practice location address for Adam J Pruett is 4384 Main Street, Manchester, VT 05254-8945 and can be reached out via phone at 802-768-9136 and via fax at 802-662-2173.
Provider Profile Details
- NPI Number
- 1609050756
- Provider Name
- Adam J Pruett
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4384 Main Street, Manchester, VT 05254-8945
- Phone Number
- 802-768-9136
- Fax Number
- 802-662-2173
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 26, 2007
- Last Update Date
- June 6, 2023
- Certification Date
- June 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4384 Main Street
Manchester, VT 05254-8945 - City
- Manchester
- State
- Vermont
- Zip
- 05254-8945
- Phone Number
- 802-768-9136
- Fax Number
- 802-662-2173
Provider Business Mailing Address Details
- Address
- Po Box 255
Manchester, VT 05254-0255 - City
- Manchester
- State
- VT
- Zip
- 05254-0255
- Phone Number
- 802-768-9136
- Fax Number
- 802-662-2173
License Information
- License Number (1)
- 059863
- License State (1)
- GA
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 28584
- License State (2)
- AL
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (3)
- 042.0013999
- License State (3)
- VT
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Adam J Pruett, MD?
The NPI number of Dr. Adam J Pruett, MD is 1609050756. It was assigned on December 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Adam J Pruett, MD?
Dr. Adam J Pruett, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in GA under license number 059863.
Where does Dr. Adam J Pruett, MD practice?
The practice location is 4384 Main Street, Manchester, VT 05254-8945. The office can be reached at 802-768-9136 (phone) or 802-662-2173 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609050756 directly on the NPPES registry website.