JEREMY EDWARD PRUITT IDC
NPI 1992939458
Military Health Care Provider - Independent Duty Corpsman in Fpo, AA

Q: What is Jeremy Pruitt's NPI number?

The NPI number for Jeremy Pruitt is 1992939458. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Q: What is Jeremy Pruitt's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Pruitt was last updated on May 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 12, 2009

USS WARRIOR MCM 10, CREW CONSTANT - EH01, FPO, AA 34093(361) 385-0592 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jeremy Edward Pruitt Idc NPPES

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

JEREMY EDWARD PRUITT IDC (NPI 1992939458) is an individual independent duty corpsman provider in Fpo, AA and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1992939458

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJEREMY EDWARD PRUITTCredential: IDC

Location AddressUSS WARRIOR MCM 10, CREW CONSTANT - EH01Fpo, AA 34093-1930

Mailing Address140 Sylvester Rd, Comcmron Two Bldg. 139San Diego, CA 92106-3521 · (619) 524-9654

Phone(361) 385-0592

Sole ProprietorYes

Enumeration DateMay 12, 2009

✔ NPI 1992939458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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 Jeremy Pruitt's NPI number?

The NPI number for Jeremy Pruitt is 1992939458. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Jeremy Pruitt located?

Jeremy Pruitt practices at Uss Warrior Mcm 10 Crew Constant - Eh01, Fpo, AA 34093. The listed phone number is (361) 385-0592.

What is Jeremy Pruitt's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jeremy Pruitt was last updated on May 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.