Provider Demographics
NPI:1023868858
Name:PRUNTY, DONALD BRANDON (DO)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:BRANDON
Last Name:PRUNTY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONE HEALTH BEHAVIORAL HEALTH - RESIDENCY
Mailing Address - Street 2:700 WALTER REED DRIVE
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403
Mailing Address - Country:US
Mailing Address - Phone:336-832-9626
Mailing Address - Fax:
Practice Address - Street 1:CONE HEALTH BEHAVIORAL HEALTH HOSPITAL
Practice Address - Street 2:700 WALTER REED DRIVE
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403
Practice Address - Country:US
Practice Address - Phone:336-832-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program