Individual provider Active NPI

Amanda Renee Jordan, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1548461080
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17539 Issued in NV
Practice address
5201 Harry Hines Blvd
House Staff & Gme
Dallas, TX 75235-7708
Phone
(214) 590-8058
NPI assigned
May 31, 2007
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 51706 AZ
Emergency Medicine Physician 207P00000X M7882 TX
Emergency Medicine Physician 207P00000X 17539 NV Primary

Addresses

Primary practice location

5201 Harry Hines Blvd
House Staff & Gme
Dallas, TX 75235-7708

Mailing address

8625 E Via de Sereno
Scottsdale, AZ 85258-3935
Phone (214) 558-3568

Other identifiers 1

IdentifierTypeStateIssuer
BP1-0023737OtherINSTITUTIONAL PERMIT

Other names 1

  • Amanda Renee Bruggman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080820000555 TX Practitioner - Emergency Medicine 9436224771 Reassigns benefits to 3 organizations
I20180309000006 NV Practitioner - Emergency Medicine 9436224771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (856) 686-4394

6402 Mallard MDW
San Antonio, TX 78244-4600
Phone (210) 757-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51706AZMDEmergency Medicine Physician
17539NVMDEmergency Medicine Physician
M7882TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Mar 15, 2025 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Ellis Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations (25 of 27)

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

100 E Alton Gloor Blvd
#A
Brownsville, TX 78526
Phone (956) 350-7000

3500 Gaston Ave
Dallas, TX 75246

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Organizations & group practices 7

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 6

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1548461080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 E VIA DE SERENO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583935",
            "telephone_number": "214-558-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "address_2": "HOUSE STAFF & GME",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "51706",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M7882",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "17539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0023737",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BRUGGMAN",
            "middle_name": "RENEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.