BRYAN P PUCIK MD NPI 1073592077

NPI Information

  • NPI: 1073592077
  • Provider Name: BRYAN P PUCIK, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1230 E. MAIN STREET
    MANKATO CLINIC @ MAIN STREET
    MANKATO, MN
    ZIP 56002
  • Phone: (507) 625-1811

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NPI Details

Bryan P Pucik, MD is a family medicine in Mankato, MN with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bryan P Pucik, MD NPI is 1073592077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1993

The provider's business location address is:

1230 E. MAIN STREET
MANKATO CLINIC @ MAIN STREET
MANKATO, MN
ZIP 56002-674
Phone: (507) 625-1811

The NPI 1073592077 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, clotting time (HCPCS:85610)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Hemoglobin a1c level (HCPCS:83036)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Bacterial urine culture (HCPCS:87088)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Total protein level, urine (HCPCS:84156)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/10/2006 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine53516WISCONSINNo
2207Q00000XFamily Medicine37212MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1805722200MEDICAIDMINNESOTA
2080159110OTHERRR MEDICARE
356BO8PUOTHERMINNESOTABCBS
4HP18443OTHERMINNESOTAHEALTH PARTNERS
5NA2951023852OTHERMINNESOTAPREFERRED ONE
6410849339 56001 C173OTHERCHAMPUS
71675630OTHERMINNESOTAAMERICAS PPO
8101792OTHERMINNESOTAUCARE
90118371OTHERMINNESOTAMEDICA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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