JON CHRISTIAN BRUCE MD
NPI 1295439206
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since March 27, 2023PECOS Enrolled
3115 29TH ST, LUBBOCK, TX 79410(480) 292-2292 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jon Christian Bruce Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON CHRISTIAN BRUCE MD (NPI 1295439206) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295439206
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJON CHRISTIAN BRUCECredential: MD
Location Address3115 29TH STLubbock, TX 79410-3022
Mailing Address3115 29th StLubbock, TX 79410-3022
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
NPI 1295439206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3115 29TH ST, Lubbock, TX 79410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jon Christian Bruce Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295439206, enumerated as an "individual" on March 27, 2023.

The provider is located at 3115 29TH ST LUBBOCK, TX 79410 and the phone number is (480) 292-2292.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.