DR. FREDERICK K. BULACAN


Address: W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002
Phone: 2622552500

DR. FREDERICK K. BULACAN (NPI# 1699768622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699768622
Entity Type Individual
Full Name DR. FREDERICK K. BULACAN
Credential M.D.
Practice Address W180n8000 Town Hall Rd
Menomonee Falls
WI 53051-4002
Practice Telephone 2622552500
Mailing Telephone 2622552500
Enumeration Date 2005-08-24
Last Update Date 2019-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 35691 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI MEDICARE PTAN 046573840 01
WI MEDICARE PTAN 042368480 01

Office Location

Street Address W180N8000 TOWN HALL RD
City MENOMONEE FALLS
State WI
Zip Code 53051-4002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023635869 Neil Hyde Family Medicine W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2020-06-27
1811514656 Shirin Pilakka Kandakkil Family Medicine W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2020-06-27
1619591377 Vinay Sharma Student in an Organized Health Care Education/Training Program W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2020-05-29
1407485949 Taylor Thomas Marino Student in an Organized Health Care Education/Training Program W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2020-04-06
1184253197 Peter Alfred John Capelli Student in an Organized Health Care Education/Training Program W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2020-04-02
1144878075 Froedtert Health Pharmacy LLC Pharmacy W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2019-09-04
1043873805 Michael Menard Student in an Organized Health Care Education/Training Program W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2019-04-17
1255892790 Robert William Heffernan Student in an Organized Health Care Education/Training Program W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2019-03-27
1124589080 Michael Scerpella Student in an Organized Health Care Education/Training Program W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2019-03-25
1750841813 Patricia Toro Perez Student in an Organized Health Care Education/Training Program W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2019-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356968002 Marisa Hiley Nurse Practitioner W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 2020-06-29
1225687940 Andres Sercovich Pharmacist W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 2019-09-05
1699329193 Athletico Ltd Physical Therapist N88w15562 Main St, Menomonee Falls, WI 53051 2019-08-01
1386103059 Aegis Group Practice LLC Occupational Therapist N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 2019-03-13
1962969220 Paladina Health, LLC Family Medicine Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 2019-02-22
1053814772 Waukesha County Community Dental Clinic, Inc. Clinic/Center N81w15062 Appleton Ave, Menomonee Falls, WI 53051 2018-03-09
1942753314 Kelly Schmidt Pharmacist 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 2016-08-02
1386027548 Generations Family Dental Care Menomonee Falls, LLC Dentist N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 2015-07-07
1184007551 Monjot Kaur Kang Pharmacist N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 2015-07-03
1417334038 Costco Wholesale Corporation Hearing Aid Equipment 9235 Pershing Avenue, Menomonee Falls, WI 53051 2015-05-04
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528313038 Saif Ullah Internal Medicine N8085 Falls Town Hall Rd W180, Menomonee Falls, WI 53051 2012-07-20
1285642314 Kathleen Sue Blocher Internal Medicine W165n5595 Creekwood Xing, Menomonee Falls, WI 53051-0685 2006-08-04
1841279585 Paul Flink Internal Medicine W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 2006-01-11
1639520448 Jared Drenkow Internal Medicine W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3558 2016-06-23
1083080519 Khaled Taha Internal Medicine W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2015-08-19
1205220506 Harirajan Mani Internal Medicine W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2015-03-24
1598175549 Ayesha B Qadir Internal Medicine N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 2014-04-29
1548605629 Adam G Sternberg Internal Medicine W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2013-05-02
1780927657 Tesfaye Habtetsion Gebremedhin Internal Medicine W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2013-03-29
1760746127 Bushra Zafar Osmani Internal Medicine W129n7055 Northfield Dr, Menomonee Falls, WI 53051 2012-07-01
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Competitor

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City MENOMONEE FALLS
Zip Code 53051

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Dataset Information

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.

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