Brodie Pruitt, PA-C is a medicare enrolled "Physician Assistant" physician in Orlando, Florida. Her current practice location is
601 E Rollins St, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 303-6413.
Brodie Pruitt is licensed to practice in Florida (license number PA9116205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285371427.
Physician's Profile
| Full Name | Brodie Pruitt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 601 E Rollins St, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285371427
- Provider Enumeration Date: 05/18/2022
- Last Update Date: 02/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 5698157964
- Enrollment ID: I20220803000576
Medical Identifiers
Medical identifiers for Brodie Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285371427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 0010-13707 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | PA9116205 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brodie Pruitt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brodie Pruitt, PA-C 601 E Rollins St, Orlando, FL 32803-1248 Ph: (407) 303-6413 | Brodie Pruitt, PA-C 601 E Rollins St, Orlando, FL 32803-1248 Ph: (407) 303-6413 |
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