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DR. JUSTIN LEE BRUCKER M.D. NPI 1194997601


NPI Information

NPI: 1194997601
Provider Name: DR. JUSTIN LEE BRUCKER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL

PECOS Registration: Yes

Address:
600 HIGHLAND AVE
MADISON, WI
ZIP 53792
Phone: (608) 263-8799
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DR. Justin Lee Brucker, M.D. is a diagnostic radiology radiology in Madison, WI with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Justin Lee Brucker, M.D. NPI is 1194997601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year:2008

The provider's business location address is:

600 HIGHLAND AVE
MADISON, WI
ZIP 53792-507
Phone: (608) 263-8799

The NPI 1194997601 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.

  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

The enumeration date for this NPI number is 3/25/2008 and was last updated on 1/15/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology60568-20WISCONSINNo
22085R0202XRadiologyDiagnostic Radiology60568WISCONSINYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.