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GORDON BRUCE MD
NPI 1295711901
Pediatrics - Pediatric Emergency Medicine in Dallas, TX

Active since December 15, 2005PECOS Enrolled
3320 LIVE OAK ST, COPC ADMINISTRATION, DALLAS, TX 75204(214) 266-1000 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gordon Bruce Md NPPES

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

GORDON BRUCE MD (NPI 1295711901) is an individual pediatric emergency medicine provider in Dallas, Texas, licensed in Texas (J4011) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295711901
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameGORDON BRUCECredential: MD
Location Address3320 LIVE OAK ST, COPC ADMINISTRATIONDallas, TX 75204-6109
Mailing AddressPo Box 660599Dallas, TX 75266-0599
Phone(214) 266-1000
Sole ProprietorNo
Enumeration DateDecember 15, 2005
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1295711901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TX · J4011
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License J4011 (TX)
3320 LIVE OAK ST, Dallas, TX 75204
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Other Identifiers 10

Medicaid113281313TX
Medicaid113281305TX
Medicaid113281311TX
Medicaid113281309TX
Medicaid113281312TX
Medicaid113281310TX
Medicaid113281306TX
Medicaid113281304TX
Medicaid113281307TX
Medicaid113281308TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordon 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gordon Bruce reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dallas County Hospital District
1.2 mi
Federally Qualified Health Center (FQHC)
1818 CORSICANA ST
Dallas, TX 75201
  • Reassigned Medicare billing, Texas enrollment
  • 808 clinicians in this Medicare group
NPI 1861853004 (214) 266-0214
University Of Texas Southwestern Medical Center At Dallas
3.4 mi
Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1083669766 (214) 645-0624

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEI GONG M.D.
Pediatrics
3320 LIVE OAK ST
DALLAS, TX 75204
Dallas County (214) 266-1080
DR. NOEL O. SANTINI MD
Internal Medicine
3320 LIVE OAK ST, EAST DALLAS HEALTH CENTER
DALLAS, TX 75204
Dallas County (214) 266-1000
YOLANDA G. KRAYNICK PHD
Psychologist (Clinical)
3320 LIVE OAK ST, EAST DALLAS HEALTH CENTER
DALLAS, TX 75204
Dallas County (214) 266-1000
CESAR TERMULO JR. MD
Pediatrics
3320 LIVE OAK ST, EAST DALLAS HEALTH CENTER
DALLAS, TX 75204
Dallas County (214) 266-1000
CARMEN R. WILSON MD
Pediatrics
3320 LIVE OAK ST, EAST DALLAS HEALTH CENTER
DALLAS, TX 75204
Dallas County (214) 266-1007
CHUN WANG MD
Internal Medicine
3320 LIVE OAK ST, EAST DALLAS HEALTH CENTER
DALLAS, TX 75204
Dallas County (214) 266-1033
MARIA C. ROBINSON MD
Internal Medicine
3320 LIVE OAK ST
DALLAS, TX 75204
Dallas County (214) 266-4000
MS. SANDRA MORENO-CHRISTIANSEN BSN, WHNP
Nurse Practitioner (Women's Health)
3320 LIVE OAK ST, 5TH FLOOR
DALLAS, TX 75204
Dallas County (214) 266-1200

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 Gordon Bruce's NPI number?

The NPI number for Gordon Bruce is 1295711901. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Gordon Bruce located?

Gordon Bruce practices at 3320 Live Oak St Copc Administration, Dallas, TX 75204. The listed phone number is (214) 266-1000.

What is Gordon Bruce's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Gordon Bruce enrolled in Medicare?

Yes. Gordon Bruce is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gordon Bruce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gordon Bruce reassigns Medicare benefits to 2 organizations: Dallas County Hospital District (Dallas, TX) and University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). Each 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 Gordon Bruce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gordon Bruce accept?

Health plans from Molina Healthcare list Gordon Bruce as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Bruce was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.