DR. BRUCE RYAN BALL (M.D.) – Maternal & Fetal Medicine Physician, NPI 1124131818

DR. BRUCE RYAN BALL (M.D.) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. M-9620 (ID). The NPI Number for DR. BRUCE RYAN BALL (M.D.) is 1124131818

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE RYAN BALL (M.D.)
NPI
1124131818
Phone
(210) 539-9582
Address
3551 ROGER BROOKE DR
Enumeration Date
16 August 2006
Last Update Date
9 August 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2104813000
Graduation Year
2004 (22 years ago)
PAC ID
5092930610
Group Practice PAC ID
8022171974
Professional Enrollment ID
I20200207000530
Address ID
TX782584192SA502XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for DR. BRUCE RYAN BALL (M.D.)

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 539-9582

    Type: Location

  • 900 N LIBERTY ST STE 206

    BOISE, ID 83704

    Phone: (208) 302-1100

    Fax: (208) 302-1155

    Type: Location

  • East Goldstone Drive, Meridian, Ada County, Idaho, 83709, United States

    MERIDIAN, ID 83642

    Phone: (208) 302-1100

    Fax: (208) 302-1155

    Type: Mailing

  • 1100 Wilford Hall Loop Bldg 4554

    Jbsa Lackland, TX 782365638

    Phone: (210) 539-9582

    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: 2020-02-07

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
I20200207000530IObstetrics/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.

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

Insurance plans in this area (ZIP 78234)

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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: 8022171974View full group profile
NameSpecialtyState
P O D I A T R YTX
Certified Clinical Nurse Specialist (Cns)TX
-TX
General SurgeryTX
Pediatric Medicine, Cardiovascular Disease (Cardiology)TX
Medical Oncology, Hematology, Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
Urology, General Surgery, UrologyTX
General SurgeryTX

Reviews

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Frequently asked questions

What NPI should I save for DR. BRUCE RYAN BALL (M.D.)?
Save NPI 1124131818 if you need a stable reference for DR. BRUCE RYAN BALL (M.D.).
Is DR. BRUCE RYAN BALL (M.D.)'s NPI currently valid?
The extract we use shows DR. BRUCE RYAN BALL (M.D.) as active.
What field does DR. BRUCE RYAN BALL (M.D.) work in?
You can think of DR. BRUCE RYAN BALL (M.D.) as practicing within Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRUCE RYAN BALL (M.D.)'s primary listing?
We display Jbsa Ft Sam Houston, Texas because that is what the record indicates for DR. BRUCE RYAN BALL (M.D.).
What if Jbsa Ft Sam Houston, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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