Individual provider Active NPI

Bruce E Scaff, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1801869441
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0065 Issued in TX
Practice address
2401 Jarratt Ave
Austin, TX 78703-2430
Phone
(512) 466-5473
Fax
(512) 320-1935
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G0065 TX Primary

Addresses

Primary practice location

2401 Jarratt Ave
Austin, TX 78703-2430

Mailing address

2401 Jarratt Ave
Austin, TX 78703-2430
Phone (512) 466-5473

Other identifiers 4

IdentifierTypeStateIssuer
98302841MedicaidNM
R0046012OtherTXDPS
131645705MedicaidTX
131645711MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000588 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1658377569 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G0065TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Emergency Group LLC CurrentSince Sep 22, 2019 Accepting new patients
WH Services Austin LLC CurrentSince Dec 1, 2022 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Jun 23, 2017 Accepting new patients
Altus Exceptional Physician Group PLLC CurrentSince Nov 13, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 1, 2021 Accepting new patients
Texas ER Group PLLC CurrentSince Nov 13, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 1, 2021 Accepting new patients
Mid Central Emergency Medicine Associates PA Past Accepting new patients
Abk Emergency Physicians PLLC Past Accepting new patients
El Paso Hospitalist Services, PLLC Past Accepting new patients
Athens Emergency Medicine Associates PA Past Accepting new patients
El Paso Hospitalist Group PLLC Family Medicine Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

5656 Bee Caves Rd
West Lake Hills, TX 78746
Phone (512) 314-3800

Interoperability endpoints

  • Direct secure messaging: bruce.scaff.1@16041.direct.athenahealth.com
  • Direct secure messaging: bruce.scaff.1@12704.direct.athenahealth.com

Organizations & group practices 12

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801869441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 JARRATT AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787032430",
            "telephone_number": "512-466-5473",
            "fax_number": "512-320-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 JARRATT AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787032430",
            "telephone_number": "512-466-5473",
            "fax_number": "512-320-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAFF",
        "first_name": "BRUCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98302841",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "R0046012",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131645705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131645711",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.