Individual provider Active NPI

Melissa C. Bruce, TEXAS LIC. #10842

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1568518678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10842 Issued in TX
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1804346MedicaidTX

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

LicenseStateTypeSpecialty
10842TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston System PastSince Nov 1, 2017 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.

Verify at the official NPI Registry.