Provider Demographics
NPI:1548227085
Name:MCALPINE, DAVID BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRUCE
Last Name:MCALPINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 OAKMONT BLVD
Mailing Address - Street 2:STE. 102
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3909
Mailing Address - Country:US
Mailing Address - Phone:817-370-2440
Mailing Address - Fax:817-370-8209
Practice Address - Street 1:7100 OAKMONT BLVD
Practice Address - Street 2:STE. 102
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3909
Practice Address - Country:US
Practice Address - Phone:817-370-2440
Practice Address - Fax:817-370-8209
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1474174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115735602Medicaid
TXB24693Medicare UPIN
TX115735602Medicaid