NPIMap

Organization Active NPI

Bruce E. Wardle', D.O, P.a.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1386765162
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRUCE E. WARDLE', D.O, P.A.
Practice address
1401 W Jefferson Blvd
Dallas, TX 75208-5326
Phone
(214) 941-9200
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Bruce E. Wardlay, D.O.
Title
Owner
Phone
(214) 941-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1401 W Jefferson Blvd
Dallas, TX 75208-5326

Mailing address

1401 W Jefferson Blvd
Dallas, TX 75208-5326
Phone (214) 941-9200

Other names 1

  • oakcliff medical treatment clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4323 S Hampton Rd
Dallas, TX 75232
Phone (214) 330-7777

520 W Seminary Dr
Fort Worth, TX 76115
Phone (817) 921-4347

710 E Pioneer Pkwy
#303
Grand Prairie, TX 75051
Phone (972) 262-8211

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1386765162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W JEFFERSON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085326",
            "telephone_number": "214-941-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W JEFFERSON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085326",
            "telephone_number": "214-941-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E. WARDLE', D.O, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "WARDLAY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-941-9200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "oakcliff medical treatment clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.