Organization Active NPI

Bruce Kruger, P.C.

  • Clinical Psychologist
  • West Lake Hills, TX
National Provider Identifier
1407988561
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-1247 Issued in TX
Legal business name
BRUCE KRUGER, P.C.
Practice address
5450 Bee Cave Rd
Suite # 5-B
West Lake Hills, TX 78746-5244
Phone
(512) 327-4827
Fax
(512) 327-2026
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Bruce D Kruger, PH.D.
Title
Owner
Phone
(512) 327-4827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2-1247 TX Primary

Addresses

Primary practice location

5450 Bee Cave Rd
Suite # 5-B
West Lake Hills, TX 78746-5244

Mailing address

5450 Bee Cave Rd
Suite # 5-B
West Lake Hills, TX 78746-5244
Phone (512) 327-4827

Other identifiers 1

IdentifierTypeStateIssuer
SD-16OtherBC-BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1407988561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 BEE CAVE RD",
            "address_2": "SUITE # 5-B",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465244",
            "telephone_number": "512-327-4827",
            "fax_number": "512-327-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 BEE CAVE RD",
            "address_2": "SUITE # 5-B",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465244",
            "telephone_number": "512-327-4827",
            "fax_number": "512-327-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE KRUGER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-327-4827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-1247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS",
            "identifier": "SD-16",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.