Bruce a. Bollinger, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H1468 Issued in TX

Legal business name

BRUCE A. BOLLINGER, MD PA

Practice address

800 12TH Ave
Suite 300
Fort Worth, TX 76104-2518

Phone

(817) 877-1118

Fax

(817) 877-5317

NPI assigned

Jun 15, 2010

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Alan Bollinger, MDNPI 1801836788

Title

Owner/President

Phone

(817) 877-1118

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Alan Bollinger, M.D.

  • Specialist
  • Fort Worth, TX
  • NPI 1801836788
  Authorized official Same address or phone

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1366763252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 12TH AVE",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042518",
            "telephone_number": "817-877-1118",
            "fax_number": "817-877-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 12TH AVE",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042518",
            "telephone_number": "817-877-1118",
            "fax_number": "817-877-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. BOLLINGER, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-877-1118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Price Brownlee
• Deasia Shanquita Laprice Broyld
• Lindsey Duncan Broyles, LPC
• Brozynski Medical Clinic, PA
• Krzysztof K Brozynski, MD
• Bruce D Martin MD PA (Alliance Pediatrics)
• Elizabeth S Bruce, PHD
• Jennifer Bruce, R.N., N.P.
• Keelie Bruce, D.O.
• Erika Brucks, DO

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.