Physician Compare National (NPI:1306058771)

HEALTHCARE PROVIDER: ERICA LAINE BRUCE LCSW-S

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306058771
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092982223
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120111000559
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRUCE
	Individual professional last name
Provider First Name	ERICA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5777 SIENNA PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 350
	Group Practice or individual's line 2 address
City	MISSOURI CITY
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	774596050
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y