Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derek P Pruni, DC

Individual provider Chiropractor · NPI 1154304590

Dr. Derek P Pruni, DC is a Chiropractic in Mesa, Arizona. Graduated from Palmer College Chiropractic - Davenport in 1994, 32 years ago. Practices with East Southern Medical Group LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
32
Trained at
Palmer College Chiropractic - Davenport
Licensed in
AZ
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

5233 E Southern Ave Ste 104
Mesa, AZ 85206-3628
Phone: (480) 785-4959
Fax: (480) 785-4827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7918 (AZ)

Record details

NPI number1154304590
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedNovember 21, 2005
Last updated in NPPESApril 17, 2017
Mailing address5233 E Southern Ave, Suite 104, Mesa, AZ 85206-3625

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1994 (32 years in practice)
Group practice East Southern Medical Group Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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