Bruce D Martin MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L8824 Issued in TX

Legal business name

BRUCE D MARTIN MD PA

Doing business as

Alliance Pediatrics

Practice address

12461 Timberland Blvd Ste 309
Fort Worth, TX 76244-5212

Phone

(817) 741-5437

Fax

(888) 400-5412

NPI assigned

Jun 9, 2009

Last updated

Jan 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce David John Martin, M.D.NPI 1043390974

Title

Physician/Owner

Phone

(817) 741-5437

Specialties & licenses 1

Addresses

Other names 1

• Alliance Pediatrics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce D Martin, MD

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1043390974
  Authorized official Same address or phone

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1881820595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12461 TIMBERLAND BLVD STE 309",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445212",
            "telephone_number": "817-741-5437",
            "fax_number": "888-400-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12461 TIMBERLAND BLVD STE 309",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445212",
            "telephone_number": "817-741-5437",
            "fax_number": "888-400-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D MARTIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DAVID JOHN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "817-741-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deasia Shanquita Laprice Broyld
• Lindsey Duncan Broyles, LPC
• Brozynski Medical Clinic, PA
• Krzysztof K Brozynski, MD
• Bruce a. Bollinger, MD PA
• Elizabeth S Bruce, PHD
• Jennifer Bruce, R.N., N.P.
• Keelie Bruce, D.O.
• Erika Brucks, DO
• Daniel Edward Bruhl, M.D.

• Pediatrics Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.