Bruce Patrick McClellan, C.P.O.
NPI 1104976182ActiveIndividual· Orthotist· Tyler, TX
Orthotist (C.P.O.) in Tyler, Texas, licensed in TX, with an NPI issued in January 2007.
Overview
| NPI | 1104976182 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | C.P.O. |
| Sole proprietor | No |
| NPI issued | Jan 11, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthotist Primary | 222Z00000X | 25 | TX |
| Prosthetist | 224P00000X | 25 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Orthotist providers in Tyler
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