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

Q: 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.

Q: What is Gordon Bruce's specialty?

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

Q: 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.

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: August 09, 2026.

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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

Medicare Participation & PECOS CMS

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

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.

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