Justin L Brucker (NPI# 1194997601, PAC ID# 0446491633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1194997601 |
| PAC ID by PECOS | 0446491633 |
| Professional Enrollment ID | I20130731000362 |
| Full Name | Justin L Brucker |
| Organization Legal Name | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| Address |
3051 Cahill Main Fitchburg WI 53711-7109 |
| Phone Number | 6086617200 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3870489586 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 3051 Cahill Main, Fitchburg, WI 53711-7109 | 6086617200 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 600 Highland Ave, Madison, WI 53792-0001 | 6082636400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marina Demenech Sanderson | Clinical Social Worker | Group Health Cooperative of South Central Wisconsin | 8202 Excelsior Dr, Madison, WI 53717-1906 |
| Marcia A Bolles | Physician Assistant | Group Health Cooperative of South Central Wisconsin | 675 W Washington Ave, Madison, WI 53703-2637 |
| Rama Ahuja | Physical Therapy | Group Health Cooperative of South Central Wisconsin | 8054 Watts Rd, Madison, WI 53719-3811 |
| Shane A Wells | Diagnostic Radiology | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Sarah E Strong | Clinical Social Worker | Group Health Cooperative of South Central Wisconsin | 700 Regent St, Madison, WI 53715-2634 |
| Michael G Wirth | Chiropractic | Group Health Cooperative of South Central Wisconsin | 5301 Tokay Blvd, Madison, WI 53711-1027 |
| Rebecca Bull | Family Medicine | Group Health Cooperative of South Central Wisconsin | 815 S Main St, De Forest, WI 53532-1480 |
| William F Chubb | Podiatry | Group Health Cooperative of South Central Wisconsin | 1705 Hoffman St, Madison, WI 53704-2510 |
| Tyler J Allee | Physical Therapy | Group Health Cooperative of South Central Wisconsin | 675 W Washington Ave, Madison, WI 53703-2637 |
| George F Leydon Iii | Family Medicine | Group Health Cooperative of South Central Wisconsin | 675 W Washington Ave, Madison, WI 53703-2637 |
| Street Address |
3051 CAHILL MAIN |
| City | FITCHBURG |
| State | WI |
| Zip | 53711-7109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane A Wells | Diagnostic Radiology | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Nathan C Hayes | Family Medicine | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Timothy K Ruder | Optometry | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Paul D Johnson | Clinical Social Worker | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Robert J Mertz | Optometry | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Meghan G Lubner | Diagnostic Radiology | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Maria D Martin Rother | Diagnostic Radiology | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Jennifer L Schoff | Clinical Social Worker | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Adam D Burns | Optometry | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Pichaya S Ratarasarn | Dermatology | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Wirth | Chiropractic | Group Health Cooperative of South Central Wisconsin | 5301 Tokay Blvd, Madison, WI 53711-1027 |
| Paul J Johnson | Orthopedic Surgery | University of Wisconsin System Non Payroll | 621 Science Dr, Madison, WI 53711-1074 |
| Joseph Y Tang | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| David T Bernhardt | Pediatric Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Linda L Eckhardt | Cardiac Electrophysiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Richard Kijowski | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Jonathan C Makielski | Cardiovascular Disease (cardiology) | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Scott Sheehan | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Geoffrey S Baer | Sports Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Nathaniel Brooks | Neurosurgery | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Find all physicians in zip 53711 | |||
| City | FITCHBURG |
| Zip Code | 53711 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FITCHBURG + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Justin L Brucker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.