Bryant Keith Rucker Jr.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

10705 Nashville Dr
Frisco, TX 75035-7692

Phone

(706) 333-6370

NPI assigned

Mar 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1780442244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 NASHVILLE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357692",
            "telephone_number": "706-333-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 NASHVILLE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357692",
            "telephone_number": "706-333-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-443-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "BRYANT",
        "middle_name": "KEITH",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Rubin, PT
• Joel H Rubin, DO
• Paul I Rubin, DDS, PA
• Sheila M Ruble, LPCI, NCC
• Tate Christopher Rubley, PA
• Jessika Maya Rucker, CCC-SLP
• Snezhana Rudakova, PT, DPT
• Jeremy Daniel Rudd, MA, LPC, CCM
• Jordan Rudd
• Christine Munyabarenzi Rugambwa, NP

• Surgical Physician Assistant in Frisco, TX
• Providers in Frisco, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.