Individual provider Active NPI

Bruce I Prager, MD

  • Orthopaedic Surgery Physician
  • Arlington, TX
National Provider Identifier
1033137435
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G8747 Issued in TX
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
096819004MedicaidTX
096819005MedicaidTX
096819003MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000420 TX Practitioner - Orthopedic Surgery 9234193491 Reassigns benefits to 1 organization

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
Texas Orthopedic and Spine Associates PLLCGroup PAC ID 4183018757, 6 clinicians

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

LicenseStateTypeSpecialty
G8747TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homeheal PA CurrentSince Mar 5, 2023 Accepting new patients
Texas Orthopedic and Spine Associates PLLC Orthopaedic Surgery CurrentSince Apr 18, 2025 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

  • Direct secure messaging: bruce.prager.1@18148.direct.athenahealth.com
  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.