Gordon Bruce
MD | Pediatric Emergency Medicine | Male
Gordon Bruce, MD is a Dallas, Texas based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Gordon Bruce is
3320 Live Oak St, Copc Administration, Dallas, Texas - 75204-6109. He can be contacted on phone at
214-266-1000.
Gordon Bruce is a sole proprietor of his business.
NPI number (Unique professional ID) for Gordon Bruce is
1295711901 which was assigned by NPPES on 15 Dec, 2005 and it was last updated on 15 Dec, 2020.
Gordon Bruce license number is
J4011 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Texas.
Gordon Bruce has special qualifications to manage emergencies in infants and children.
Complete Profile:
Gordon Bruce basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Gordon Bruce |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Gordon Bruce address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3320 Live Oak St, Copc Administration
Dallas, TX, 75204-6109
United States |
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| Phone Number : | 214-266-1000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295711901 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Dec, 2005 |
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| Last Updated On : | 15 Dec, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gordon Bruce are as mentioned. Primary taxonomy code for Gordon Bruce, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | J4011 | TX |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | J4011 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Gordon Bruce such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 113281313 | MEDICAID | TX | |
| 113281305 | MEDICAID | TX | |
| 113281311 | MEDICAID | TX | |
| 113281309 | MEDICAID | TX | |
| 113281312 | MEDICAID | TX | |
| 113281310 | MEDICAID | TX | |
| 113281306 | MEDICAID | TX | |
| 113281304 | MEDICAID | TX | |
| 113281307 | MEDICAID | TX | |
| 113281308 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 660599
Dallas, TX, 75266-0599
United States |
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Business Location:
Patients can refer following map for directions to
Gordon Bruce practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.