BRUKE TEDLA
NPI 1982102539
Internal Medicine - Adult Congenital Heart Disease in Loma Linda, CA

Q: What is Bruke Tedla's NPI number?

The NPI number for Bruke Tedla is 1982102539. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Q: What is Bruke Tedla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Q: When was this NPI record last updated?

The NPPES record for Bruke Tedla was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 29, 2018PECOS EnrolledAccepts Medicare Assignment

11324 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-8590 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Bruke Tedla NPPES

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

BRUKE TEDLA (NPI 1982102539) is an individual adult congenital heart disease provider in Loma Linda, California, licensed in California (A160609) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982102539

Entity TypeIndividualMale

Primary Taxonomy207RA0002X

Provider Legal NameBRUKE TEDLA

Location Address11324 ANDERSON STLoma Linda, CA 92350-1728

Mailing Address2068 Orange Tree Ln Ste 215Redlands, CA 92374-4555

Phone(909) 558-8590

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 29, 2018

Last NPPES UpdateNovember 11, 2025

NPPES CertifiedNovember 11, 2025

✔ NPI 1982102539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adult Congenital Heart DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RA0002X

License✔ Licensed in CA · A160609

Definition

A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.

11324 ANDERSON ST, Loma Linda, CA 92350

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bruke Tedla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426545336

PECOS Enrollment IDI20251014003770

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 Reassignment

Medicare enrollment records show Bruke Tedla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

0.1 mi

Surgery

11370 ANDERSON ST, SUITE 2100
Loma Linda, CA 92354

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1275583205 (909) 558-2822

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 Bruke Tedla's NPI number?

The NPI number for Bruke Tedla is 1982102539. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Bruke Tedla located?

Bruke Tedla practices at 11324 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-8590.

What is Bruke Tedla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Is Bruke Tedla enrolled in Medicare?

Yes. Bruke Tedla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bruke Tedla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruke Tedla reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The 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 Bruke Tedla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bruke Tedla was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.