Robert Bruce Jordan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boyce, Louisiana. His current practice location is
253 Wilderness Dr, Boyce, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 443-2418.
Robert Bruce Jordan is licensed to practice in Louisiana (license number MD.009180) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316988900.
Physician's Profile
Full Name | Robert Bruce Jordan |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 253 Wilderness Dr, Boyce, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316988900
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 07/07/2009
Medicare PECOS Information:
- PECOS PAC ID: 3375645666
- Enrollment ID: I20110420000560
Medical Identifiers
Medical identifiers for Robert Bruce Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316988900 | NPI | - | NPPES |
GR0106037 | Medicaid | CA | |
00C261560 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | C26156 (California) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD.009180 (Louisiana) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | J1277 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Bruce Jordan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert Bruce Jordan, MD Po Box 7146, Alexandria, LA 71306-0146 Ph: (805) 901-0204 | Robert Bruce Jordan, MD 253 Wilderness Dr, Boyce, LA 71409-8618 Ph: (318) 443-2418 |
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