DR. BRUCE R HODSON (PH.D.) – Psychologist, NPI 1083724074

DR. BRUCE R HODSON (PH.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Psychologist. They hold the professional credentials PH.D.. They hold a License No. 460 (OK). The NPI Number for DR. BRUCE R HODSON (PH.D.) is 1083724074

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE R HODSON (PH.D.)
NPI
1083724074
Phone
Not provided
Address
PO BOX 471556
Enumeration Date
30 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185915700
Graduation Year
1984 (42 years ago)
PAC ID
8921106071
Group Practice PAC ID
5698786226
Professional Enrollment ID
I20070613000314
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. BRUCE R HODSON (PH.D.)

  • PO BOX 471556

    TULSA, OK 741471556

    Phone:

    Type: Mailing

  • 100 W 7TH ST STE 102

    OKMULGEE, OK 744475007

    Phone: (918) 758-1910

    Fax: (918) 756-1270

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070613000314IClinical PsychologistOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74147)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698786226View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. BRUCE R HODSON (PH.D.) in U.S. healthcare records?
The official identifier for DR. BRUCE R HODSON (PH.D.) is NPI 1083724074.
Would DR. BRUCE R HODSON (PH.D.) appear as active to a payer?
You can treat DR. BRUCE R HODSON (PH.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. BRUCE R HODSON (PH.D.)?
DR. BRUCE R HODSON (PH.D.)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is DR. BRUCE R HODSON (PH.D.) registered?
Use Tulsa, Oklahoma as the headline location for DR. BRUCE R HODSON (PH.D.) here.
When was this NPI issued?
Enumeration for DR. BRUCE R HODSON (PH.D.) is noted as August 30, 2006 where the registry provides it.

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Unknown Individual

Psychologist
Boardwalk Offices, 5272, South Lewis Avenue, Lewis Crest, Tulsa, Tulsa County, Oklahoma, 74105, United States
NPI: 1457394579