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

Mark Pruitt, DO

Individual provider Emergency Medicine Physician · NPI 1124432943

Mark Pruitt, DO is an Emergency Medicine in Bonners Ferry, Idaho. Qualified in 2014, 12 years ago. Practices with Boundary Community Hospital, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone: (208) 267-3141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 714 W Pine St, Newport, WA 99156-9046 — (509) 447-2441

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence O-1105 (ID)

Record details

NPI number1124432943
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 19, 2014
Last updated in NPPESJune 25, 2019
Mailing address6640 Kaniksu St, Bonners Ferry, ID 83805-7532

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Boundary Community Hospital — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bonners Ferry