GORDON BRUCE MD
NPI 1295711901
Pediatrics in Dallas,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 15, 2005

Contact Information

3320 Live Oak St
Dallas,
Post Code: 75204
Phone: (214) 266-1000
Fax: -

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Gordon Bruce Md in Dallas - Pediatrics

Gordon Bruce Md is a Pediatrics in Dallas, . Gordon Bruce Md practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gordon Bruce Md is 1295711901. The last update date is 2020-12-15.

Gordon Bruce Md's current location address is 3320 Live Oak St, Dallas, . You can contact this provider via phone number (214) 266-1000 and fax number -. The mailing address for Gordon Bruce Md is 3320 Live Oak St, Dallas, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1295711901
Provider Name
GORDON BRUCE MD
Gender
Male
Entity Type
Individual
Location Address
3320 Live Oak St, Dallas,
Location Phone
(214) 266-1000
Location Fax
-
Mailing Address
Po Box 660599, Dallas, Texas(TX)
Mailing Phone
Mailing Fax
-
Enumeration Date
2005-12-15
Last Update Date
2020-12-15
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics, Pediatric Emergency Medicine

Taxonomy Code
2080P0204X
Type
-
License No.
J4011
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208000000X Pediatrics Physician

Pediatrics

J4011 (Texas)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
113281304 MEDICAID (05) Texas (TX)
113281305 MEDICAID (05) Texas (TX)
113281306 MEDICAID (05) Texas (TX)
113281307 MEDICAID (05) Texas (TX)
113281308 MEDICAID (05) Texas (TX)
113281309 MEDICAID (05) Texas (TX)
113281310 MEDICAID (05) Texas (TX)
113281311 MEDICAID (05) Texas (TX)
113281312 MEDICAID (05) Texas (TX)
113281313 MEDICAID (05) Texas (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295711901
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185141290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22185141290
2 + 2 + 1 + 8 + 5 + 1 + 4 + 1 + 2 + 9 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1295711901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215930367 LAURENT GRESSOT
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006
1205839230 MERCY EMS, LLC
MERCY EMS
Organization
Ambulance, Land Transport 15401 ADDISON RD
ADDISON, Texas (TX)
972-788-9401
1164425195 MARIE DENISE JARBATH
Individual
Physician Assistant 17448 HIGHWAY 3
WEBSTER, Texas (TX)
281-338-4443
1275536229 MEDFUND LLC
HORIZONS JANE BRANCH MEMORIAL MRI CENTER OF GARLAND LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490
1013910058 WESTHEIMER VISION ASSOCIATES, PC
Organization
Optometrist 10260 WESTHEIMER RD
HOUSTON, Texas (TX)
713-781-3517