BRUCE BALLARD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1821367863

BRUCE BALLARD (CRNA) is a healthcare provider. based in Fort worth, Texas. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 706059 (TX). The NPI Number for BRUCE BALLARD (CRNA) is 1821367863

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE BALLARD (CRNA)
NPI
1821367863
Phone
(817) 529-1157
Address
4100 INTERNATIONAL PLZ
Enumeration Date
20 December 2011
Last Update Date
20 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063530125
Graduation Year
2011 (15 years ago)
PAC ID
8527229764
Group Practice PAC ID
6204818776
Professional Enrollment ID
I20120413000548
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for BRUCE BALLARD (CRNA)

  • 4100 INTERNATIONAL PLZ

    SUITE 600

    FORT WORTH, TX 761094820

    Phone: (817) 529-1157

    Fax: (817) 877-0350

    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)

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: 2012-04-13

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
I20120413000548ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00142Anesthesia for lens surgery340318$0
00145Anesthesia for retinal surgery6867$0
00140Anesthesia for other procedure on eye1212$0
View full utilization report →

Insurance plans in this area (ZIP 76109)

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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: 6204818776View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
-TX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
-TX
-TX
-TX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

Is BRUCE BALLARD (CRNA) listed with a National Provider Identifier?
Yes — BRUCE BALLARD (CRNA) has NPI 1821367863 on file in the registry.
Is there an active status for BRUCE BALLARD (CRNA)?
For scheduling context, BRUCE BALLARD (CRNA) is shown as active in the registry.
What area of care is associated with BRUCE BALLARD (CRNA)?
BRUCE BALLARD (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRUCE BALLARD (CRNA)?
Travel planning: use Fort Worth, Texas as the reference point for BRUCE BALLARD (CRNA), then confirm.
Does BRUCE BALLARD (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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