Active NPI
Robert L Bruce, M.D.
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
National Provider Identifier
1427064401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- F2568
- Practice address
- 909 N Washington Ave
Dallas, TX 75246-1520 - Phone
- (214) 820-9637
- Fax
- (214) 820-9339
- NPI assigned
- Jul 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | F2568 | TX | Primary |
| Spinal Cord Injury Medicine Physician | 2081P0004X | F2568 | TX |
Addresses
Primary practice location
909 N Washington Ave
Dallas, TX 75246-1520
Mailing address
909 N Washington Ave
Dallas, TX 75246-1520
Phone (214) 820-9637
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BN468 | Other | TX | BCBS |
| 1347478-04 | Medicaid | TX | |
| 1347478-07 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network-Physiatric Medicine Associates | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1912902511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1427064401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 N WASHINGTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461520",
"telephone_number": "214-820-9637",
"fax_number": "214-820-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N WASHINGTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461520",
"telephone_number": "214-820-9637",
"fax_number": "214-820-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "F2568",
"primary": true
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "TX",
"license": "F2568",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BN468",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1347478-04",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1347478-07",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Feb 22, 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.