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Justin L Brucker

  • Male

Medical Specialty

Professional ID

  • NPI: 1194997601
  • PECOS ID: 0446491633
  • Enrollment ID: I20130731000362
  • Credential(MD, DO, DPM):
  • Medical School: University Of Rochester School Of Medicine And Dentistry
  • Medical School Graduation Year: 2008

Hospital Service

  • Hospital CCN1: 330285
  • Business Name (LBN)1: Strong Memorial Hospital
  • Hospital CCN2: 520098
  • Business Name (LBN)2: University Of Wi Hospitals Clinics Authority
  • Hospital CCN3: 330235
  • Business Name (LBN)3: Auburn Community Hospital
  • Hospital CCN4: 330090
  • Business Name (LBN)4: Arnot Ogden Medical Center
  • Hospital CCN5: 330238
  • Business Name (LBN)5: Nicholas H Noyes Memorial Hospital

Medical Practices

  • Organization Name: Group Health Cooperative Of South Central Wisconsin
  • Group Practice ID assigned by PECOS: 3870489586
  • Number of Group Practice member: 200

Location

  • Address1: 3051 Cahill Main
  • Address2:
  • City: Fitchburg
  • State: Wisconsin
  • Zip Code: 53711
  • Phone Number: (608)661-7200

Medical Practices

  • Organization Name: University Of Wisconsin Medical Foundation Inc
  • Group Practice ID assigned by PECOS: 6608785464
  • Number of Group Practice member: 1763

Location

  • Address1: 600 Highland Ave
  • Address2:
  • City: Madison
  • State: Wisconsin
  • Zip Code: 53792
  • Phone Number: (608)263-6400

Medical Practices

  • Organization Name: Radiologists Of Univ Of Rochester
  • Group Practice ID assigned by PECOS: 6800700170
  • Number of Group Practice member: 70

Location

  • Address1: 601 Elmwood Ave
  • Address2:
  • City: Rochester
  • State: New York
  • Zip Code: 14642
  • Phone Number: (585)275-2734

Medical Practices

  • Organization Name: University Of Wisconsin System Non Payroll
  • Group Practice ID assigned by PECOS: 9133024888
  • Number of Group Practice member: 101

Location

  • Address1: 1111 Highland Ave
  • Address2:
  • City: Madison
  • State: Wisconsin
  • Zip Code: 53705
  • Phone Number: (608)265-8731

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):