BRUCE R. DOUGLAS MD NPI 1568448553

NPI Information

  • NPI: 1568448553
  • Provider Name: BRUCE R. DOUGLAS, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 1ST ST SW
    ROCHESTER, MN
    ZIP 55905
  • Phone: (507) 284-2511

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NPI Details

Bruce R. Douglas, MD is a diagnostic radiology radiology in Rochester, MN with 33 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Bruce R. Douglas, MD NPI is 1568448553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

200 1ST ST SW
ROCHESTER, MN
ZIP 55905-001
Phone: (507) 284-2511

The NPI 1568448553 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.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Screening mammography (HCPCS:77067)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)

The enumeration date for this NPI number is 12/21/2005 and was last updated on 7/8/2007.

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
12085R0202XRadiologyDiagnostic Radiology45258WISCONSINNo
22085R0202XRadiologyDiagnostic Radiology37107MINNESOTAYes

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
1F84591MEDICARE UPIN
234334000MEDICAIDWISCONSIN

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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