Active NPI
William A Bruck, M.D.
- Orthopaedic Surgery of the Spine Physician
- Dallas, TX
National Provider Identifier
1922028638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- E6259
- Practice address
- 9301 N Central Expy # 720-1982
Dallas, TX 75231-0806 - Phone
- (214) 220-2468
- Fax
- (214) 720-1982
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | E6259 | TX | Primary |
Addresses
Primary practice location
9301 N Central Expy # 720-1982
Dallas, TX 75231-0806
Mailing address
9301 N Central Expy Ste 400
Dallas, TX 75231-0805
Phone (214) 220-2468
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200021212 | Other | TX | RAILROAD MEDICARE |
| 105383701 | Medicaid | TX | |
| 872357 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6259 | TX | MD | Orthopaedic Surgery of the Spine Physician |
Interoperability endpoints
- wbruck@direct.uspi.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1922028638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 N CENTRAL EXPY STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752310805",
"telephone_number": "214-220-2468",
"fax_number": "214-720-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 N CENTRAL EXPY # 720-1982",
"city": "DALLAS",
"state": "TX",
"postal_code": "752310806",
"telephone_number": "214-220-2468",
"fax_number": "214-720-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCK",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "E6259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200021212",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105383701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "872357",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.