Individual provider Active NPI

Bruce A Henry, M.D.,P.A.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1053455311
Registry record updated Jan 20, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(2) exclusion effective Sep 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2454 Issued in TX
Practice address
2001 SE Green Oaks Blvd Ste 100
Arlington, TX 76018-0953
Phone
(817) 466-7412
Fax
(817) 466-7493
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H2454 TX Primary

Addresses

Primary practice location

2001 SE Green Oaks Blvd Ste 100
Arlington, TX 76018-0953

Mailing address

2001 SE Green Oaks Blvd Ste 100
Arlington, TX 76018-0953
Phone (817) 466-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients
Bruce a. Henry, M.D., P.a. Family Medicine PastSince Apr 9, 2010 Accepting new patients
South Arlington Primary Care Associates, P.a. Family Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1053455311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SE GREEN OAKS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760180953",
            "telephone_number": "817-466-7412",
            "fax_number": "817-466-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SE GREEN OAKS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760180953",
            "telephone_number": "817-466-7412",
            "fax_number": "817-466-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "M.D.,P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.