GORDON BRUCE MD NPI 1295711901

NPI Information

  • NPI: 1295711901
  • Provider Name: GORDON BRUCE, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3320 LIVE OAK ST
    COPC ADMINISTRATION
    DALLAS, TX
    ZIP 75204
  • Phone: (214) 266-1000

Map and Directions

Get Directions

NPI Details

Gordon Bruce, MD is a pediatric emergency medicine pediatrics in Dallas, TX. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Gordon Bruce, MD NPI is 1295711901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3320 LIVE OAK ST
COPC ADMINISTRATION
DALLAS, TX
ZIP 75204-109
Phone: (214) 266-1000

The NPI 1295711901 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsJ4011TEXASNo
22080P0204XPediatricsPediatric Emergency MedicineJ4011TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1113281313MEDICAIDTEXAS
2113281305MEDICAIDTEXAS
3113281311MEDICAIDTEXAS
4113281309MEDICAIDTEXAS
5113281312MEDICAIDTEXAS
6113281310MEDICAIDTEXAS
7113281306MEDICAIDTEXAS
8113281304MEDICAIDTEXAS
9113281307MEDICAIDTEXAS
10113281308MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI