Active NPI
Bruce I Prager, MD
- Orthopaedic Surgery Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G8747
- Practice address
- 701 Secretary Dr
Arlington, TX 76015-1623 - Phone
- (817) 468-8400
- Fax
- (817) 468-8512
- NPI assigned
- Jul 17, 2006
- Last updated
- Mar 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G8747 | TX | Primary |
Addresses
Primary practice location
701 Secretary Dr
Arlington, TX 76015-1623
Mailing address
701 Secretary Dr
Arlington, TX 76015-1623
Phone (817) 468-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096819004 | Medicaid | TX | |
| 096819005 | Medicaid | TX | |
| 096819003 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York Medical College, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
923 College Ave
Suite 101
Fort Worth, TX 76104-3051
Phone (817) 697-4038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8747 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homeheal PA | Current | Accepting new patients | |
| Texas Orthopedic and Spine Associates PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Physicians and Allied Health Professionals Group, PA | Orthopaedic Surgery | Past | Accepting new patients |
| Heritage Network Physician | Past | Accepting new patients | |
| Orthopedic Institute of Texas | Orthopaedic Surgery | Past | Accepting new patients |
Locations
701 Secretary Dr
Arlington, TX 76015
Phone (214) 286-6565
3450 W Wheatland Rd
Ste 330
Dallas, TX 75237
Phone (413) 461-5025
7901 John W Carpenter Fwy
Dallas, TX 75247
Phone (214) 980-9400
923 College Ave
Ste 101
Fort Worth, TX 76104
Phone (817) 697-4038
2302 Lone Star Rd
Ste 160
Mansfield, TX 76063
Phone (817) 871-9069
Interoperability endpoints
- bruce.prager.1@18148.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/AEFGCD/Endpoint/AEFGCD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1528011814
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1033137435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SECRETARY DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760151623",
"telephone_number": "817-468-8400",
"fax_number": "817-468-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SECRETARY DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760151623",
"telephone_number": "817-468-8400",
"fax_number": "817-468-8512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAGER",
"first_name": "BRUCE",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "G8747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096819004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096819005",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096819003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
- Christopher Michael Powers, MPH, PA-C
- Tevin Powers, DPT
- Practical Nutrition LLC
- Netra S Pradhan, OTR
- Praetorian Logistics LLC
- Precious J and J Counseling and Associates (Pjjca)
- Precision Nutrition & Body Contouring Inc.
- Precision Nutrition and Body Contouring, Inc.
- Preferred Healthcare Solutions, LLC
- Preferred Mobile Wound Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.