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BRUCE M BAUKNIGHT MD PA
NPI 1801056122
Internal Medicine - Geriatric Medicine in Victoria, TX

Active since June 10, 2008
6123 COUNTRY CLUB DR, VICTORIA, TX 77904(361) 655-9181(361) 306-8541 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 4, 2025, Nov 5, 2021, Sep 21, 2021 and 3 more (6 updates tracked since 2019).

About Bruce M Bauknight Md Pa NPPES

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

BRUCE M BAUKNIGHT MD PA (NPI 1801056122) is a healthcare organization registered as a geriatric medicine in Victoria, Texas and active in the NPI registry since June 2008. The organization lists Bruce M Bauknight, Owner, as its authorized official.

NPPES Registry Identity

NPI1801056122
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameBRUCE M BAUKNIGHT MD PA
Location Address6123 COUNTRY CLUB DRVictoria, TX 77904-1672
Mailing Address1908 N Laurent St Ste 330Victoria, TX 77901-5467 · (361) 572-0333 · Fax (361) 703-5101
Phone(361) 655-9181
Fax(361) 306-8541
Organization SubpartNo
Authorized OfficialBruce M BauknightOwner · (361) 655-9181
Enumeration DateJune 10, 2008
Last NPPES UpdateFebruary 17, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1801056122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
6123 COUNTRY CLUB DR, Victoria, TX 77904
Open in Google Maps ↗

Other Identifiers 1

Medicaid195769801TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce M Bauknight Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20081230000214Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bruce M Bauknight MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Bauknight, MD
Internal Medicine
NPI 1487616785
6123 COUNTRY CLUB DR
Victoria, TX 77904
(361) 655-9181
✔ PECOS✔ Accepts MedicareSame address

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 M Bauknight MD PA's NPI number?

The NPI number for Bruce M Bauknight MD PA is 1801056122. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Bruce M Bauknight MD PA located?

Bruce M Bauknight MD PA is located at 6123 Country Club Dr, Victoria, TX 77904. The listed phone number is (361) 655-9181.

What is Bruce M Bauknight MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Bruce M Bauknight MD PA enrolled in Medicare?

Yes. Bruce M Bauknight MD PA is registered in the Medicare PECOS enrollment system.

When is Bruce M Bauknight MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bruce M Bauknight MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bruce M Bauknight MD PA. 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. 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 M Bauknight MD PA was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.