THOMAS D BRUCKER (NPI# 1659306066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659306066 |
Entity Type | Individual |
Full Name | THOMAS D BRUCKER |
Credential | MD |
Practice Address |
252 Mchenry Street Burlington WI 53105-1828 |
Mailing Address |
8901 West Lincoln Avenue West Allis WI 53227-2477 |
Practice Telephone | 2627676120 |
Practice Fax Number | 2627676809 |
Mailing Telephone | 4143287950 |
Mailing Fax Number | 4143288505 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2010-07-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35374 | WI | Allopathic & Osteopathic Physicians |
Street Address |
252 MCHENRY STREET |
City | BURLINGTON |
State | WI |
Zip Code | 53105-1828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
Find all providers in zip 53105 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386839975 | Myla P Lai-goldman | Pathology | 128 Maple Ave, Laboratory Corporation of America, Burlington, NC 27215-5847 | 2007-09-07 |
1750416772 | George Ernest Rinker | Pathology | Huffman Mill Road, Alamance Regional Medical Center, Burlington, NC 27216 | 2007-02-22 |
1316094436 | William Franklin Hancock Jr. | Pathology | 1303 W Davis St, Burlington, NC 27215-2149 | 2007-01-03 |
1457715443 | Adina Alexandra Bodolan | Pathology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2016-04-06 |
1447645189 | Karissa Leigh Heck | Pathology | 1447 York Ct, Burlington, NC 27215-3361 | 2015-03-31 |
1588077572 | John C Dewitt | Pathology | 111 Colchester Ave, Burlington, VT 05401 | 2014-06-06 |
1093076325 | Maryam J Zenali | Pathology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2012-06-04 |
1336405760 | Jessica W. Crothers | Pathology | 111 Colchester Ave., Uvm Medical Ctr., Dept. of Pathology & Laboratory Med., Burlington, VT 05401 | 2012-04-10 |
1740556240 | Jamen Rick Bartlett | Pathology | 111 Colchester Ave, Uvm Medical Center, Pathology, Burlington, VT 05401-1473 | 2012-03-29 |
1346531266 | James Gilbert Timpson Dekay | Pathology | 111 Colchester Ave, East Pavilion 1-178, Mailstop 233mp1, Burlington, VT 05401-1473 | 2011-04-26 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 53105 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.