Individual provider Active NPI

Bruce Lee Palmer, MD

  • Interventional Cardiology Physician
  • Wichita Falls, TX
National Provider Identifier
1750474078
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
K8961 Issued in TX
Practice address
1631 11TH St
Suite a
Wichita Falls, TX 76301-4320
Phone
(940) 264-3222
Fax
(940) 264-3225
NPI assigned
Sep 30, 2006
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 45986 OK
Interventional Cardiology Physician 207RI0011X K8961 TX Primary

Addresses

Primary practice location

1631 11TH St
Suite a
Wichita Falls, TX 76301-4320

Mailing address

PO Box 3365
Wichita Falls, TX 76301-0365
Phone (940) 264-3222

Other identifiers 1

IdentifierTypeStateIssuer
8S6801OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20050910000182 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385676360 Reassigns benefits to 2 organizations
I20250816000135 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4385676360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1631 11TH St
Unit a
Wichita Falls, TX 76301-4332
Phone (940) 264-3222

305 S 5TH St
Enid, OK 73701-5832
Phone (580) 233-6100

310 E Owen K Garriott Rd
Enid, OK 73701-5712
Phone (580) 249-3795

314 E Owen K Garriott Rd
St Mary's Podiatry Clinic
Enid, OK 73701-5712
Phone (580) 249-3795

330 S 5TH St
Suite 401
Enid, OK 73701-5863
Phone (580) 249-3898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.31 of 100Reported as individual
Quality
88.02
Promoting interoperability
93
Improvement activities
40
Cost
55.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc CurrentSince Aug 1, 2005 Accepting new patients
Advanced Heart and Vascular Medicine PLLC Interventional Cardiology CurrentSince Aug 1, 2020 Accepting new patients
Wichita Heart and Vascular Center, PLLC CurrentSince Feb 1, 2008 Accepting new patients
St. Mary's Physician Associates, LLC CurrentSince Sep 2, 2025 Accepting new patients
St. Mary's Physician Associates, LLC Interventional Cardiology CurrentSince Sep 2, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

615 E Oklahoma Ave
Ste 203
Enid, OK 73701
Phone (580) 234-5546

1100 Brook Ave
Wichita Falls, TX 76301
Phone (940) 322-4480

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1600 8th St
Wichita Falls, TX 76301
Phone (940) 723-1461

1631 11th St
Wichita Falls, TX 76301
Phone (940) 687-5000

1631 11th St
Unit A
Wichita Falls, TX 76301
Phone (940) 263-3003

Interoperability endpoints

  • Direct secure messaging: bpalmer14431@unitedregional.medalliesdirect.net
  • Direct secure messaging: bruce.palmer.1@14849.direct.athenahealth.com
  • Direct secure messaging: brucepalmermd@directaddress.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/

Organizations & group practices 6

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 7

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1750474078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3365",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763010365",
            "telephone_number": "940-264-3222",
            "fax_number": "940-264-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH ST",
            "address_2": "SUITE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014320",
            "telephone_number": "940-264-3222",
            "fax_number": "940-264-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BRUCE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "45986",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K8961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8S6801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.