NPI age
20 years
Enumerated 2005-08-03
● Active
Type 1 · Individual
DR. Bruce Elkin Ellerin, M.D.
Ellerin is 1 of 7 radiology providers in Tyler and 1 of 568 in Texas.
Primary specialty
Radiology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-04-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 568 active radiology providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
721 Clinic Dr
Tyler, TX 757012043
Mailing address
721 Clinic Dr
Tyler, TX 757012043
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1801 S Palestine St
Athens, TX 75751
Specialties
-
Radiology PrimaryA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1825753 | AETNA |
| 05 (TX) | 1984247-03 | |
| 05 (TX) | 1984247-04 | |
| 01 | 010046338 | AMERICHOICE |
| 01 | 3K8111 | HEALTHNET |
| 01 | P3883771 | OXFORD |
Practice context
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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