David Bruce Kruger, PH.D., PSYCHOLOGY

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2-1247 Issued in TX

Practice address

5450 Bee Cave Rd
Suite 5-B
West Lake Hills, TX 78746-5244

Phone

(512) 327-4827

Fax

(512) 327-2026

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831100643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 BEE CAVE RD",
            "address_2": "SUITE 5-B",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465244",
            "telephone_number": "512-327-4827",
            "fax_number": "512-327-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 BEE CAVE RD",
            "address_2": "SUITE 5-B",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465244",
            "telephone_number": "512-327-4827",
            "fax_number": "512-327-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-1247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "159720",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "SD-16",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-PIN",
            "identifier": "0004643499",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTHCARE",
            "identifier": "100030092001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "10654329716",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPHEALTH",
            "identifier": "KRUGERDA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sangeetha Lakshmi Kolluri, DO
• Donna Lee Kopf, LMT, MMP
• Georgia Jane Kramer
• Sonia Lohiya Krishna, M.D.
• Daniela Krotzer, PH.D. LCSW
• Khloe Allison Krumwiede, DC
• Brian David Kunde, LCSW
• Randall L Kunik, D.D.S.
• Kuo Medical Care, PLLC
• Emily Samantha Kuo, DO

• Clinical Psychologist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Clinical Psychologist in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.