Active NPI
Melissa C. Bruce, TEXAS LIC. #10842
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1568518678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10842
- Practice address
- 100 Clinical Research Ctr
Houston, TX 77204-6018 - Phone
- (713) 743-2773
- Fax
- (713) 743-2926
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10842 | TX | Primary |
Addresses
Primary practice location
100 Clinical Research Ctr
Houston, TX 77204-6018
Mailing address
100 Clinical Research Ctr
Houston, TX 77204-6018
Phone (713) 743-2773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1804346 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10842 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Houston System | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568518678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CLINICAL RESEARCH CTR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772046018",
"telephone_number": "713-743-2773",
"fax_number": "713-743-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CLINICAL RESEARCH CTR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772046018",
"telephone_number": "713-743-2773",
"fax_number": "713-743-2926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "MELISSA",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "TEXAS LIC. #10842",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "10842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1804346",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.