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Bryan Pruess

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2614 Jenks Ave, Panama City, FL 32405-4311

PECOS Enrollment

Based on the most recent information from CMS, provider Bryan Pruess is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1679071799
Provider Type
Individual
Full Name
Pruess, Bryan
Credential
ARNP

Gender
Male
Sole Proprietor
No
Enumeration Date
1/23/2018
Last Updated
9/8/2023

Contact Information

Practice Location

2614 Jenks Ave, Panama City, FL 32405-4311

(850) 215-3000

(850) 215-3150

Mailing Location

406 Wisteria St, Panama City Beach, FL 32407-3018

(850) 896-6838

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN9246003 Florida

Bryan Pruess

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bottkol, Christine A

Boutwell, Jason Glenn

Graham, Jessica Nicole

Andrews, Mary M

Tafunai, Evie-Noel

Sauls, Lauren Olivia

Four Pillars Healthcare Pllc

Cook, Trevor Eugene

Mohamed, Sara Ehab

Ruder, Martha