IndividualActive
Billy Pruett, M.D.
NPI 1306947742 · Aerospace Medicine Physician · Jbph-Hickam, HI
Provider details
- NPI number
- 1306947742
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD36551 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
15th Mdg
755 Scott Circle
Jbph-Hickam, HI 96853
Phone: (808) 448-6371
Approximate (ZIP-level) locationGet directions
Mailing address
15th Mdg
Jbph-Hickam, HI 96853
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2023-08-02
- Certified
- 2023-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.