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BENJAMIN PARKER PRUITT MD CLASS OF 2025
NPI 1255160412
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since July 29, 2024PECOS Enrolled
4301 W MARKHAM ST # 550, LITTLE ROCK, AR 72205(501) 296-1100 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Benjamin Parker Pruitt Md Class Of 2025 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN PARKER PRUITT MD CLASS OF 2025 (NPI 1255160412) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255160412
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN PARKER PRUITTCredential: MD CLASS OF 2025
Location Address4301 W MARKHAM ST # 550Little Rock, AR 72205-7101
Mailing Address900 Midland StLittle Rock, AR 72205-4132 · (501) 940-5216
Phone(501) 296-1100
Sole ProprietorNo
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 28, 2024
✔ NPI 1255160412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST # 550, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Parker Pruitt Md Class Of 2025 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH HALL
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 550
LITTLE ROCK, AR 72205
Pulaski County (870) 243-8969
MR. BARRETT DAVES
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 550
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1100
MAAZ AHMAD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 550
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1100
JONATHAN LEVI MITCHELL
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 550
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1100
ANNA EDGEWORTH BRAGG MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 550
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1100
ZANE WILLIAM GRANT
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 550
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7000
HANNAH HUBBARD
Psychiatry & Neurology (Psychiatry)
4301 W MARKHAM ST # 550
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1100
NATHAN BOWERS
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 550
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1100

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 Benjamin Pruitt's NPI number?

The NPI number for Benjamin Pruitt is 1255160412. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Benjamin Pruitt located?

Benjamin Pruitt practices at 4301 W Markham St # 550, Little Rock, AR 72205. The listed phone number is (501) 296-1100.

What is Benjamin Pruitt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Pruitt enrolled in Medicare?

Yes. Benjamin Pruitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Pruitt was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.