RONALD PRUSSICK MDPC NPI 1790970259

NPI Information

  • NPI: 1790970259
  • Provider Name: RONALD PRUSSICK, MD,PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 7930 OLD GEORGETOWN RD
    BETHESDA, MD
    ZIP 20814
  • Phone: (301) 657-3622

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NPI Details

RONALD PRUSSICK, MD,PC is a specialist in Bethesda, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RONALD PRUSSICK, MD,PC NPI is 1790970259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7930 OLD GEORGETOWN RD
BETHESDA, MD
ZIP 20814-425
Phone: (301) 657-3622
Fax: (301) 657-3633

The provider's authorized official is Ronald Prussick .
The authorized official title is Physician/owner and has the following contact phone number (301) 657-3622.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 6/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistD0041493MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G01307MEDICARE PINDISTRICT OF COLUMBIA
2G00116MEDICARE PINDISTRICT OF COLUMBIA
3698MMEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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