BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) – Obstetrics & Gynecology Physician, NPI 1104828821

BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) is a healthcare provider. based in Dallas, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D., F.A.C.O.G.. They hold a License No. D8605 (TX). The NPI Number for BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) is 1104828821

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.)
NPI
1104828821
Phone
(972) 566-7711
Address
7777 FOREST LN
Enumeration Date
12 August 2005
Last Update Date
23 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725667711
Graduation Year
1967 (59 years ago)
PAC ID
5092758151
Group Practice PAC ID
7315083391
Professional Enrollment ID
I20101228000125
Address ID
TX752306839DA7777XLNXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,165 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.)

  • Medical City Dallas, 7777, Forest Lane, Dallas, Dallas County, Texas, 75230, United States

    C-234

    DALLAS, TX 752302505

    Phone: (972) 566-7711

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $173.

Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.

Last reported payment date: 2023-12-04 • Largest payer in this snapshot: ABBVIE INC. ($82).

Total Amount

$173

General + Research + Ownership

Payments

8

Total payment records

General Amount

$173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-12-28

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
I20101228000125IObstetrics/GynecologyTXTBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes584354$0
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous336336$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina206197$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination200200$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory185185$0
View full utilization report →

Insurance plans in this area (ZIP 75230)

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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: 7315083391View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX

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Frequently asked questions

Does BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) uses 1104828821.
Is BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) listed as active for patients and plans?
The listing shows BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) as active in the NPI system.
What healthcare role does BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) hold?
Scheduling teams often label BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.)?
BRUCE JOHN ROBERTS (M.D., F.A.C.O.G.)'s geographic hint is Dallas, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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