Dr. Brandon Michael Rucker
M.D. | Pediatrics | Male
Dr. Brandon Michael Rucker, M.D. is a Green Bay, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Brandon Michael Rucker is
1160 Kepler Dr, Green Bay, Wisconsin - 54311-8321. He can be contacted on phone at
920-288-8450.
Dr. Brandon Michael Rucker is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Brandon Michael Rucker is
1477843001 which was assigned by NPPES on 16 Apr, 2011 and it was last updated on 29 Jun, 2022.
Dr. Brandon Michael Rucker license number is
62013-20 for Pediatrics (208000000X) in Wisconsin.
Dr. Brandon Michael Rucker is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Brandon Michael Rucker basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Brandon Michael Rucker |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
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Business Address:
Dr. Brandon Michael Rucker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1160 Kepler Dr
Green Bay, WI, 54311-8321
United States |
|---|
| Phone Number : | 920-288-8450 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477843001 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Apr, 2011 |
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| Last Updated On : | 29 Jun, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brandon Michael Rucker are as mentioned. Primary taxonomy code for Dr. Brandon Michael Rucker, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 62013-20 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Brandon Michael Rucker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100038333 | MEDICAID | WI | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | brucker117117@direct.myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 1160 KEPLER DR,
GREEN BAY, WI, 54311-8321
United States |
FHIR
(FHIR URL) | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 1160 KEPLER DR,
GREEN BAY, WI, 54311-8321
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1160 Kepler Dr
Green Bay, WI, 54311-8321
United States |
|---|
| Phone Number : | 920-288-8450 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Brandon Michael Rucker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.