Individual provider Active NPI

Bruce William Rajala, D.O.

  • Obstetrics Physician
  • McKinney, TX
National Provider Identifier
1427013200
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
H5352 Issued in TX
Practice address
5236 W University Dr
Suite 3700
McKinney, TX 75071-7889
Phone
(214) 491-6070
Fax
(214) 491-6084
NPI assigned
Apr 17, 2006
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X H5352 TX Primary

Addresses

Primary practice location

5236 W University Dr
Suite 3700
McKinney, TX 75071-7889

Mailing address

PO Box 1510
McKinney, TX 75070-8154
Phone (972) 747-4848

Other identifiers 1

IdentifierTypeStateIssuer
121154203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000036 TX Practitioner - Obstetrics/Gynecology 0840324059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

4510 Medical Ctr Dr
Suite 304
McKinney, TX 75069-1603
Phone (214) 491-6070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H5352TXMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Texas Community Health Care Center, Inc Current Accepting new patients
North Central Texas Community Health Care Center Inc CurrentSince Aug 14, 2018 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
North Central Texas Community Health Care Center, Inc CurrentSince Aug 14, 2018 Accepting new patients
Unified Women's Healthcare of Texas PLLC CurrentSince Jul 17, 2016 Accepting new patients
Columbia Medical Center of McKinney Subsidiary LP Past Accepting new patients

Locations

4510 Medical Center Dr
Ste 201
McKinney, TX 75069
Phone (972) 562-1000

4510 Medical Center Dr
Ste 304
McKinney, TX 75069
Phone (214) 217-1930

5236 W University Dr
Ste 3700
McKinney, TX 75071
Phone (214) 491-6070

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

200 Mlk Jr Blvd
Wichita Falls, TX 76301
Phone (940) 397-2609

Interoperability endpoints

  • Direct secure messaging: bruce.rajala.1@11541.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1427013200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708154",
            "telephone_number": "972-747-4848",
            "fax_number": "972-747-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 W UNIVERSITY DR",
            "address_2": "SUITE 3700",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717889",
            "telephone_number": "214-491-6070",
            "fax_number": "214-491-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJALA",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "H5352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121154203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.