Active NPI
Bruce Lance Ackerman, D.O.
- Pulmonary Disease Physician
- Garland, TX
National Provider Identifier
1932136785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G1842
- Practice address
- 6446 Broadway Blvd
Garland, TX 75043-5943 - Phone
- (972) 226-0575
- NPI assigned
- Jun 27, 2006
- Last updated
- May 23, 2008
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G1842 | TX | Primary |
Addresses
Primary practice location
6446 Broadway Blvd
Garland, TX 75043-5943
Mailing address
1517 Palm Valley Dr
Garland, TX 75043-1340
Phone (972) 840-0733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099850201 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070428000146 | TX | Practitioner - Internal Medicine | 4981700549 | Practice locations: Garland, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6446 Broadway Blvd
Garland, TX 75043-5943
Phone (972) 226-0575
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ultimate Plus Home Care
- Home Health Agency
- Mesquite, TX
- NPI 1366687279
-
dba Ultimate Home Health Care
- Home Health Agency
- Mesquite, TX
- NPI 1902934052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1932136785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 PALM VALLEY DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750431340",
"telephone_number": "972-840-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6446 BROADWAY BLVD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435943",
"telephone_number": "972-226-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "BRUCE",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "G1842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099850201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
- Accuratecare Health Services Inc (Accuratecare Home Health Agency)
- Ace Care Healthcare Services Inc
- Achieve Chiropractic Health Associates LLC
- Achievement Center of Texas
- Austin Ackerman, PT
- Laura Beth Ackerman, M.A. CCC-SLP
- Acme Healthcare, Inc. (N/a)
- Acorn Counseling and Consultation, PLLC
- Elizabeth G. Acquaye, D.D.S.
- Acute Medical Equipment Co
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.