Gordon Bruce, MD - Medicare Pediatrics in Dallas, TX

Gordon Bruce, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Dallas, Texas. His current practice location is 3320 Live Oak St, Copc Administration, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 266-1000.

Gordon Bruce is licensed to practice in Texas (license number J4011) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295711901.

Contact Information

Gordon Bruce, MD
3320 Live Oak St, Copc Administration,
Dallas, TX 75204-6109
(214) 266-1000
Not Available



Physician's Profile

Full NameGordon Bruce
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
Location3320 Live Oak St, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295711901
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 12/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072561422
  • Enrollment ID: I20050112000326

Medical Identifiers

Medical identifiers for Gordon Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295711901NPI-NPPES
113281311MedicaidTX
113281312MedicaidTX
113281313MedicaidTX
113281304MedicaidTX
113281310MedicaidTX
113281308MedicaidTX
113281309MedicaidTX
113281306MedicaidTX
113281305MedicaidTX
113281307MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics J4011 (Texas)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine J4011 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gordon Bruce allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gordon Bruce is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gordon Bruce, MD
Po Box 660599,
Dallas, TX 75266-0599

Ph: () -
Gordon Bruce, MD
3320 Live Oak St, Copc Administration,
Dallas, TX 75204-6109

Ph: (214) 266-1000

News Archive

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Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3438    
Ruth Osei Fordjour, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251
Phone: 214-957-4754    
Dr. Alecia Curlene Nero, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-4180    
Dr. Sravani Avula, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-730-5437    
Asif Zia Khattak, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Gaston Ave, Dallas, TX 75246
Phone: 214-820-7604    
Sadia Malik, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-2533    Fax: 214-456-8130
Sana Jamil Siddiqui, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-0488    Fax: 214-456-4486

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