P Praxis·MD
● Active Type 1 · Individual

DR. Roger Devern Pruitt, D.O.

Pediatrics·Wimberley, TX· NPI 1932104353 · Enumerated 2005 · 20 years on NPI
Pruitt is 1 of 3 pediatrics providers in Wimberley and 1 of 7055 in Texas.
NPI age
20 years
Enumerated 2005-06-14
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7055 active pediatrics providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
180 Joe Wimberley Blvd, Ste 102
Wimberley, TX 786766083
📞 5128477700fax 5128477701
Mailing address
180 Joe Wimberley Blvd, Ste 102
Wimberley, TX 786766083
📞 5128477700fax 5128477701

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    TX license #L1706 taxonomy 208000000X
  • Pediatrics
    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
    TX license #L1706 taxonomy 2080A0000X

Identifiers

TypeValueNotes
01 (TX) 7061167 AETNA
01 (TX) 0085HZ BLUE CROSS BLUE SHIELD
05 (TX) 157905401

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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