Individual provider Active NPI

Bruce Samuel Kroeker, DPM

  • Podiatrist
  • Spring, TX
National Provider Identifier
1740849140
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3171 Issued in TX
Practice address
2616 FM 2920 Rd Ste N
Spring, TX 77388-3590
Phone
(281) 444-6300
Fax
(832) 375-1247
NPI assigned
Jun 10, 2019
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 3171 TX
Podiatrist 213E00000X 3171 TX Primary

Addresses

Primary practice location

2616 FM 2920 Rd Ste N
Spring, TX 77388-3590

Mailing address

2616 FM 2920 Rd Ste N
Spring, TX 77388-3590
Phone (281) 444-6300

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912001685 TX Practitioner - Podiatry 1355726357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Foot and Ankle Specialists PAGroup PAC ID 4183629132, 10 clinicians

Practice addresses (Care Compare)

2616 FM 2920 Rd
Suite N
Spring, TX 77388-3590
Phone (281) 444-6300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue148
Removal or shaving of skin growth81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3171TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of North Houston P a Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Mfa Health Houston PLLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Moore Foot and Ankle Specialists PA Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Fas of TW LLC Single Specialty CurrentSince Jan 22, 2025 Accepting new patients

Locations

12300 Dundee Ct
Ste 213
Cypress, TX 77429
Phone (281) 256-4414

17215 Red Oak Dr
Ste 102
Houston, TX 77090
Phone (281) 444-4114

7575 San Felipe St
Ste 301
Houston, TX 77063
Phone (346) 597-7161

227 State Highway 75 N
Ste 150
Huntsville, TX 77320

400 Bypass Ln
Ste 110
Livingston, TX 77352
Phone (936) 252-1147

11161 Shadow Creek Pkwy
Ste 220
Pearland, TX 77584
Phone (281) 657-1490

9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380

2616 FM 2920 Rd
Ste N
Spring, TX 77388
Phone (281) 444-6300

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1740849140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 FM 2920 RD STE N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883590",
            "telephone_number": "281-444-6300",
            "fax_number": "832-375-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 FM 2920 RD STE N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883590",
            "telephone_number": "281-444-6300",
            "fax_number": "832-375-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEKER",
        "first_name": "BRUCE",
        "middle_name": "SAMUEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3171",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.