Healthcare Provider Details

I. General information

NPI: 1972535698
Provider Name (Legal Business Name): CHRISTOPHER BRENT PUGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 S KANNER HWY STE 300
STUART FL
34994-4801
US

IV. Provider business mailing address

3801 S KANNER HWY STE 300
STUART FL
34994-4801
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-4978
  • Fax:
Mailing address:
  • Phone: 772-223-4978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number200100765
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberDR.0076988
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME154031
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number200100765
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME154031
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: