Bruce E Whitehead, MD, PA
NPI 1114300795 · Primary Care Clinic/Center · Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bruce E Whitehead, MD, PA is a Primary Care Clinic/Center organization in Dallas, TX (NPI 1114300795).
Provider details
- NPI number
- 1114300795
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ivelisa Smith, Practice Manager(214) 294-8989
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-01
- Last updated
- 2020-01-14
- Certified
- 2020-01-14
Frequently asked questions
- What is Bruce E Whitehead, MD, PA's NPI number?
- Bruce E Whitehead, MD, PA's National Provider Identifier (NPI) is 1114300795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bruce E Whitehead, MD, PA?
- Bruce E Whitehead, MD, PA is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bruce E Whitehead, MD, PA located?
- Bruce E Whitehead, MD, PA's practice location on file with NPPES is 12201 Merit Dr, Dallas, TX 75251-2213.
- What is Bruce E Whitehead, MD, PA's phone number?
- The practice phone number listed in the NPPES registry for Bruce E Whitehead, MD, PA is (214) 294-8989.
- Does Bruce E Whitehead, MD, PA accept Medicare?
- Bruce E Whitehead, MD, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bruce E Whitehead, MD, PA?
- The authorized official listed on Bruce E Whitehead, MD, PA's NPPES record is Ivelisa Smith, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bruce E Whitehead, MD, PA's NPI active?
- Yes — Bruce E Whitehead, MD, PA's NPI (1114300795) is active in the NPPES registry as of the last update on 2020-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.