Individual provider Active NPI

Bruce Eldon Wheeler, MD

  • Internal Medicine Physician
  • Victoria, TX
National Provider Identifier
1053373902
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F0821 Issued in TX
Practice address
2710 Hospital Dr
Suite 114
Victoria, TX 77901-5701
Phone
(361) 578-0231
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F0821 TX Primary

Addresses

Primary practice location

2710 Hospital Dr
Suite 114
Victoria, TX 77901-5701

Mailing address

2710 Hospital Dr
Suite 114
Victoria, TX 77901-5701
Phone (361) 578-0231

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
I20090416000195 TX Practitioner - Internal Medicine 8022190966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

2700 Citizens PLZ
Victoria, TX 77901-5757

2701 Hospital Dr
Victoria, TX 77901-5748

9406 NE Zac Lentz Pkwy
Victoria, TX 77904-3108
Phone (361) 570-5433

9406 Nezac Lentz Pkwy
Victoria, TX 77904-3108
Phone (361) 570-5433

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376
  • Jackson Healthcare Center Hospital, Edna, TX, CCN 451363
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen'S Medical Center County of Victoria Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients

Locations

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

2700 Citizens Plz
Ste 102
Victoria, TX 77901
Phone (361) 574-1548

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

9406 NE Zac Lentz Pkwy
Victoria, TX 77904
Phone (361) 570-5433

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1053373902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR",
            "address_2": "SUITE 114",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015701",
            "telephone_number": "361-578-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR",
            "address_2": "SUITE 114",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015701",
            "telephone_number": "361-578-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "BRUCE",
        "middle_name": "ELDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F0821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.