Denise Bruckerhoff DO PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DENISE BRUCKERHOFF DO PLLC

Doing business as

Bruckerhoff Internal Medicine Associates

Practice address

1788 Highway 157 N Ste 103
Mansfield, TX 76063-3929

Phone

(817) 755-1005

Fax

(214) 506-2617

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Denise Bruckerhoff, DONPI 1164690111

Title

Owner

Phone

(806) 335-5975

Specialties & licenses 1

Addresses

Other names 1

• Bruckerhoff Internal Medicine Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGEIBD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Kay Bruckerhoff, D.O.

  • Internal Medicine Physician
  • Mansfield, TX
  • NPI 1164690111
  Medicare reassignment NPD Authorized official
• Marvin Lynn Faulkner, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Lenexa, KS
  • NPI 1023153335
  NPD (past)

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1972062339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 LBJ FWY STE 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431912",
            "telephone_number": "214-506-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 HIGHWAY 157 N STE 103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633929",
            "telephone_number": "817-755-1005",
            "fax_number": "214-506-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE BRUCKERHOFF DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "BRUCKERHOFF",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-335-5975",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruckerhoff Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francisco J De la Torre, M.D.
• Debbie Lane Dental & Orthodontics, PLLC
• Decatur Hospital Authority
• Joshua Del Rosario
• Enjole Dionne Delgado, MACC, LPC
• Dental Health Associates of Texas, PC
• Dental Health Associates of Texas, PC.
• Dental Now
• Dentists of Mansfield PC
• Deo Bhati M.D.

• Internal Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.