Active NPI
Adam J Bruce, PHD
- Physical Therapist
- Rockwall, TX
National Provider Identifier
1336491620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1212040
- Practice address
- 3136 Horizon Rd
Suite 100
Rockwall, TX 75032-7807 - Phone
- (972) 475-8914
- NPI assigned
- Oct 10, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1212040 | TX | Primary |
Addresses
Primary practice location
3136 Horizon Rd
Suite 100
Rockwall, TX 75032-7807
Mailing address
305 River Fern Ave
#1424
Garland, TX 75040-2999
Phone (409) 692-7771
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1212040 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1336491620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 RIVER FERN AVE",
"address_2": "#1424",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402999",
"telephone_number": "409-692-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 HORIZON RD",
"address_2": "SUITE 100",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750327807",
"telephone_number": "972-475-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "ADAM",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-10",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1212040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.