Patrick James Bruscia, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

Q7656 Issued in TX

Practice address

4455 Camp Bowie Blvd Ste 114-188
Fort Worth, TX 76107

Phone

(469) 400-4217

NPI assigned

Oct 14, 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

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Ams National LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1316330830
  NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012
  NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895
  NPD
• Quiescence Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1942671805
  NPD
• Vision Anesthesia LLC

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1134740319
  NPD
• Minerva Labs LLC

  • Clinical Medical Laboratory
  • Southlake, TX
  • NPI 1053112938
  NPD (past)
• Anesthesia Advantage of Delaware, P.a.

  • Anesthesiology Physician
  • Lewes, DE
  • NPI 1740370147
  NPD (past)
• Anesthesia Advantage PC

  • Anesthesiology Physician
  • Southampton, PA
  • NPI 1649360041
  NPD (past)
• Lehigh Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Allentown, PA
  • NPI 1508842246
  NPD (past)

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1891885208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 CAMP BOWIE BLVD STE 114-188",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073864",
            "telephone_number": "469-400-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 CAMP BOWIE BLVD STE 114-188",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76107",
            "telephone_number": "469-400-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSCIA",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q7656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiffany N Brush, OT
• Jana Elizabeth Bruski, LPC
• Mikayla Danielle Bryan
• Svea Lynn Bryan, LVN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.