BRUCE E WHITEHEAD, MD, PA
NPI 1114300795
Clinic/Center - Primary Care in Dallas, TX
About Bruce E Whitehead, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRUCE E WHITEHEAD, MD, PA (NPI 1114300795) is a healthcare organization registered as a primary care in Dallas, Texas and active in the NPI registry since July 2015. The organization lists Ivelisa Smith, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bruce E Whitehead, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bruce E Whitehead, MD, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bruce E Whitehead, MD, PA's NPI number?
The NPI number for Bruce E Whitehead, MD, PA is 1114300795. It was assigned to this organization in the NPPES registry on July 1, 2015.
Where is Bruce E Whitehead, MD, PA located?
Bruce E Whitehead, MD, PA is located at 12201 Merit Dr Suite 300, Dallas, TX 75251. The listed phone number is (214) 294-8989.
What is Bruce E Whitehead, MD, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Bruce E Whitehead, MD, PA enrolled in Medicare?
Yes. Bruce E Whitehead, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bruce E Whitehead, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bruce E Whitehead, MD, PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bruce E Whitehead, MD, PA was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bruce E Whitehead, Md, Pa · NPI 1114300795
Primary Care organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since July 1, 2015.
## Identity
- **NPI:** 1114300795 (Entity type: Organization)
- **Enumerated:** July 1, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ivelisa Smith, PRACTICE MANAGER
## Practice location
- **Address:** 12201 MERIT DR, SUITE 300, Dallas, TX 75251-2213
- **Phone:** (214) 294-8989 · **Fax:** (214) 294-8977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114300795) · Data from the CMS NPPES public registry.