Individual provider · Type 1 NPI

Madison K. Pruitt, DO

Sports Medicine (Family Medicine) Physician · Lexington, KY

NPI number 1245818632 Active

Practice location

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543

Call (859) 218-3064 Map

Fax (859) 257-8696

Mailing address

2195 Harrodsburg Road Ste. 125
Lexington, KY 40504-3504

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X05815 (KY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Sports Medicine (Family Medicine) Physician Primary 207QS0010X05815 (KY)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1245818632

Madison K. Pruitt, DO's National Provider Identifier is 1245818632, issued on Mar 29, 2021. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Lexington, KY. The record was last updated on Aug 4, 2025.