BRUCE JOHN ROBERTS (NPI# 1104828821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104828821 |
| Entity Type | Individual |
| Full Name | BRUCE JOHN ROBERTS |
| Credential | M.D., F.A.C.O.G. |
| Practice Address |
7777 Forest Ln C-234 Dallas TX 75230-2505 |
| Practice Telephone | 9725667711 |
| Mailing Telephone | 9725667711 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D8605 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974684 | Bruce Roberts | Psychiatry & Neurology | 275 Poplar Rd, Highland Park, IL 60035-4346 | 2006-03-02 |
| 1770570038 | Bruce E Roberts | Emergency Medicine | 5345 Highway 18 W, Jackson, MS 39209-9421 | 2005-10-03 |
| 1760851588 | Bruce Roberts | Counselor | 2507 Christie Drive, Christie Campus, Lake Oswego, OR 97034 | 2015-09-22 |
| 1740695311 | Bruce A Roberts | Pharmacist | 4609 Kirkwood Hwy, Wilmington, DE 19808-5005 | 2014-06-23 |
| 1891872982 | Bruce T Roberts | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2006-11-01 |
| 1639193683 | Bruce E. Roberts | Psychologist | 859 Willard St, Ste 430, Quincy, MA 02169-7482 | 2006-07-26 |
| 1912940305 | Bruce Allen Roberts | Family Medicine | 2443 Fillmore St # 380-3991, San Francisco, CA 94115-1814 | 2006-06-13 |
| Street Address |
7777 FOREST LN C-234 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546101 | Frederick J Duffy Jr. | Plastic Surgery | 7777 Forest Ln, Ste C504, Dallas, TX 75230 | 2005-05-24 |
| 1710586870 | Dessy Santika Adont | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-10-20 |
| 1003433913 | Kasey Rehme | Speech-Language Pathologist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-26 |
| 1083230015 | Abigail Anne Plec | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-25 |
| 1225650500 | Minh Nguyen | Pharmacist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-10 |
| 1578184297 | Hk Anesthesia Services Pllc | Anesthesiology | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-05 |
| 1225657018 | Kristina Marie George | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-04-11 |
| 1376176024 | Carla Patricia Jimenez Santillan | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-02-20 |
| 1508496795 | Kafayat Oritola | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-16 |
| 1699315630 | Rachel Kimberly Harris | Occupational Therapist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134507007 | Robert William Gladney | Obstetrics & Gynecology | 4224 Swiss Ave Ste 201, Dallas, TX 75204-6670 | 2015-05-12 |
| 1366820250 | Casey Roth | Obstetrics & Gynecology | 3600 Gaston Ave Ste 601, Dallas, TX 75246-1806 | 2015-05-11 |
| 1952703373 | Unified Women's Healthcare of Texas Pllc | Obstetrics & Gynecology | 1717 Mckinney Ave, Suite 700, Dallas, TX 75202-1237 | 2014-09-17 |
| 1710399019 | Paula Noemi Lomba | Obstetrics & Gynecology | 5939 Harry Hines Blvd Fl 5, Dallas, TX 75235 | 2014-05-21 |
| 1114343241 | Vibrant Health Md, Pllc | Obstetrics & Gynecology | 9119 Cochran Bluff Ln, Dallas, TX 75220-5235 | 2014-03-13 |
| 1205279395 | Tara O'connor | Obstetrics & Gynecology | 7777 Forest Ln Ste 570, Dallas, TX 75230-2571 | 2013-04-09 |
| 1295083491 | Jose L Rodriguez | Obstetrics & Gynecology | 8160 Walnut Hill Ln Ste 328, Dallas, TX 75231-4370 | 2012-08-17 |
| 1194080440 | Rakesh Gupta Md Obstetrics and Gynecology, Pa | Obstetrics & Gynecology | 13215 Glad Acres, Dallas, TX 75234 | 2012-07-11 |
| 1144580325 | Grace Marie Mooken | Obstetrics & Gynecology | 7777 Forest Ln Suite D550, Dallas, TX 75230 | 2012-05-22 |
| 1275891632 | Bianca Marie Caram | Obstetrics & Gynecology | 712 N Washington Ave Ste 250, Dallas, TX 75246-1631 | 2012-04-24 |
| Find all providers in DALLAS | ||||
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| 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.