SIDNEY PRUITT IV DC
NPI 1205364320
Chiropractor in Cleburne, TX
About Sidney Pruitt Iv Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIDNEY PRUITT IV DC (NPI 1205364320) is an individual chiropractor in Cleburne, Texas, licensed in Texas (13505) and active in the NPI registry since June 2017.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sidney Pruitt Iv Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sidney Pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleburne, TX 76031
- Reassigned Medicare billing, Texas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sidney Pruitt's NPI number?
The NPI number for Sidney Pruitt is 1205364320. It was assigned to this individual provider in the NPPES registry on June 2, 2017.
Where is Sidney Pruitt located?
Sidney Pruitt practices at 103 E Lone Star Ave, Cleburne, TX 76031. The listed phone number is (817) 645-8116.
What is Sidney Pruitt's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Sidney Pruitt enrolled in Medicare?
Yes. Sidney Pruitt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sidney Pruitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sidney Pruitt reassigns Medicare benefits to Pruitt Chiropractic PLLC (Cleburne, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sidney Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sidney Pruitt accept?
Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Sidney Pruitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sidney Pruitt was last updated on June 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sidney Pruitt IV, DC · NPI 1205364320
Chiropractor provider in Cleburne, Texas. Individual provider, active in the CMS NPPES registry since June 2, 2017.
## Identity
- **NPI:** 1205364320 (Entity type: Individual)
- **Enumerated:** June 2, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 13505 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 103 E LONE STAR AVE, Cleburne, TX 76031-3226
- **Phone:** (817) 645-8116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Pruitt Chiropractic PLLC (NPI 1285205005, Cleburne, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1205364320) · Data from the CMS NPPES public registry.