BRYAN PRUITT (MD) – Obstetrics & Gynecology Physician, NPI 1548375702

BRYAN PRUITT (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. AL21218 (AL). The NPI Number for BRYAN PRUITT (MD) is 1548375702

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN PRUITT (MD)
NPI
1548375702
Phone
(205) 838-3036
Address
48 MEDICAL PARK DR E
Enumeration Date
20 August 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2058383036
Graduation Year
1996 (30 years ago)
PAC ID
0143311340
Group Practice PAC ID
0244540557
Professional Enrollment ID
I20070802000185
Address ID
AL352353470BI48XXXEXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

587 OBSTETRICS/GYNECOLOGY in AL

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Provider Addresses for BRYAN PRUITT (MD)

  • Professional Build 48, 48, Medical Park Drive East, Barnisdale Forest, Birmingham, Jefferson County, Alabama, 35214, United States

    SUITE 355

    BIRMINGHAM, AL 352353400

    Phone: (205) 838-3036

    Fax: (205) 838-5832

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($49).

Total Amount

$132

General + Research + Ownership

Payments

7

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070802000185IObstetrics/GynecologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography105105$0
77063Screening 3d breast mammography104104$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination8484$0
99213Established patient office or other outpatient visit, 20-29 minutes5337$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3535$0
View full utilization report →

Insurance plans in this area (ZIP 35235)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244540557View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YSC
Nurse PractitionerAL
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerAL
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRYAN PRUITT (MD)?
BRYAN PRUITT (MD) — NPI 1548375702 — is the standard way to identify this listing.
Can I rely on BRYAN PRUITT (MD) being an active provider?
As of the registry snapshot, BRYAN PRUITT (MD) is marked active.
What taxonomy line describes BRYAN PRUITT (MD)?
For research purposes, treat BRYAN PRUITT (MD) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BRYAN PRUITT (MD)?
BRYAN PRUITT (MD)'s geographic hint is Birmingham, Alabama in our summary view.
Is the information about BRYAN PRUITT (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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