DR. BRUCE D MARTIN (NPI# 1043390974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043390974 |
| Entity Type | Individual |
| Full Name | DR. BRUCE D MARTIN |
| Credential | MD |
| Practice Address |
12461 Timberland Blvd Suite 309 Fort Worth TX 76244-5213 |
| Mailing Address |
12461 Timberland Blvd Suite 309 Fort Worth TX 76092 |
| Practice Telephone | 8177415437 |
| Practice Fax Number | 8179775439 |
| Mailing Telephone | 8177415437 |
| Mailing Fax Number | 8884005412 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | L8824 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UHC PIN | 2619123 | 01 |
| TX | BCBSTX PIN | 8A5662 | 01 |
| TX | 165586203 | 05 | |
| TX | GROUP NPI NUMBER | 1881820595 | 01 |
| TX | BCBS | 8BQ027 | 01 |
| TX | 205573301 | 05 | |
| TX | CCHIP PIN | MARBI09084 | 01 |
| TX | BCBSTX GRP PIN | 00U87Z | 01 |
| TX | AETNA PIN | 7340635 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215226998 | Bruce S Martin | Behavioral Analyst | 712 Rutger St, Utica, NY 13501-2508 | 2011-04-01 |
| 1831399559 | Bruce W. Martin | Optometrist | 49 Deer Run Rd, Cadiz, KY 42211-9474 | 2007-07-20 |
| 1841419710 | Bruce E Martin | Technician/Technologist | 30 Gibraltar Dr, Powder Mill Plaza, Rt 10 East, Morris Plains, NJ 07950-1273 | 2007-04-25 |
| 1457322141 | Bruce A Martin | Internal Medicine | 370 Cline Ave Ste B3, Mansfield, OH 44907-1057 | 2006-01-30 |
| 1598759979 | Bruce Richard Martin | Internal Medicine | 5210 Linton Blvd Ste 303, Delray Beach, FL 33484-6537 | 2005-08-31 |
| 1023012366 | Bruce W Martin | Family Medicine | 3101 Summit View Dr., Dacono, CO 80514 | 2005-06-01 |
| 1003359266 | Bruce W Martin | Nurse Practitioner | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2016-11-21 |
| 1437403649 | Bruce Wayland Martin Jr. | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2012-11-09 |
| 1871725309 | Bruce Ernest Martin | Pharmacist | 114 N Main St, North Syracuse, NY 13212-2325 | 2009-08-17 |
| 1942318092 | Bruce Martin | Occupational Therapy Assistant | 4065 N 35th St, Milwaukee, WI 53216 | 2006-08-28 |
| Street Address |
12461 TIMBERLAND BLVD SUITE 309 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912260506 | Alliance Primary Care Assoc Pllc | Pediatrics | 12461 Timberland Blvd, Suite 309, Fort Worth, TX 76244-5213 | 2012-06-19 |
| 1184836181 | Jana Robertson | Pediatrics | 12461 Timberland Blvd, Suite 309, Fort Worth, TX 76244-5213 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165191 | Telemedicine Advantage Concierge Urgent Care | Pediatrics | 4200 South Fwy Ste 100, Fort Worth, TX 76115-1407 | 2020-05-14 |
| 1942776638 | Melissa S Wright | Pediatrics | 6115 Camp Bowie Blvd, Fort Worth, TX 76116-5512 | 2018-10-19 |
| 1366975336 | Pragadeeswari Dhanasekaran | Pediatrics | 5887 Chesapeake Pl, Fort Worth, TX 76132-2660 | 2017-04-06 |
| 1275898280 | Suvarna Kolluri | Pediatrics | 9509 N Beach St Ste 102, Fort Worth, TX 76244-6399 | 2012-07-06 |
| 1881999613 | Joyce Keck Rafati | Pediatrics | 1263 W Rosedale St, Fort Worth, TX 76104-2801 | 2011-01-26 |
| 1386886802 | Eriel Hayes | Pediatrics | 3200 Riverfront Dr Ste 103, Fort Worth, TX 76107-6560 | 2009-03-30 |
| 1194980011 | Cherryll Phoebe Taruc Libed | Pediatrics | 4701 Bryant Irvin Rd. N, Jps Viola Pitts/como, Fort Worth, TX 76107-4917 | 2008-07-21 |
| 1366605735 | Carolyn Margaret Lentzsch-parcells | Pediatrics | 4200 South Hulen Stree, Suite 450, Fort Worth, TX 76109 | 2008-07-07 |
| 1366627655 | Courtney M Carter | Pediatrics | 3201 Western Center Blvd, Suite 125, Fort Worth, TX 76137-7134 | 2008-01-04 |
| 1902017494 | Raheela Hafeez,m.d., P.a. | Pediatrics | 855 Montgomery Street, Fort Worth, TX 76107-2553 | 2007-05-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on DR. BRUCE D MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.