Bryan P Pucik (NPI# 1073592077, PAC ID# 7810939949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073592077 |
| PAC ID by PECOS | 7810939949 |
| Professional Enrollment ID | I20050527000604 |
| Full Name | Bryan P Pucik |
| Organization Legal Name | MANKATO CLINIC, LTD. |
| Address |
1431 Premier Dr Mankato MN 56001-6076 |
| Phone Number | 5073866750 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597677955 |
| Number of Group Practice Members | 158 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240093 | MAYO CLINIC HEALTH SYSTEM - MANKATO |
| Address | Phone | Organization |
|---|---|---|
| 1230 Main St E, Mankato, MN 56002-8674 | 5076251811 | MANKATO CLINIC, LTD. |
| 1431 Premier Dr, Mankato, MN 56001-6076 | 5073866750 | MANKATO CLINIC, LTD. |
| 1431 Premier Dr, Mri Dept, Mankato, MN 56001-6076 | 5073866750 | MANKATO CLINIC, LTD. |
| 1575 Lookout Dr, North Mankato, MN 56003-2503 | 5076255027 | MANKATO CLINIC, LTD. |
| Organization Legal Name | MANKATO CLINIC, LTD. |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy W Huisken | General Surgery | Mankato Clinic, Ltd. | 1230 E Main St, Mankato, MN 56001-8674 |
| Nicole M Fischbach | Nurse Practitioner | Mankato Clinic, Ltd. | 1421 Premier Dr, Mankato, MN 56002-8684 |
| Leah R Breit | Family Medicine | Mankato Clinic, Ltd. | 630 Reed St, Mankato, MN 56001-4306 |
| Karl P Roos | Nephrology | Mankato Clinic, Ltd. | 1360 Adams St, Mankato, MN 56001-4298 |
| Stephanie W Putzier | Internal Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Gary S Goldberg | Urology | Mankato Clinic, Ltd. | 1809 Adams St, Mankato, MN 56001-4841 |
| Jeffrey T Weideman | Physician Assistant | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Alyssa L Stitt | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Hiromi Maruyama | Family Medicine | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| James A Miller | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Street Address |
1431 PREMIER DR |
| City | MANKATO |
| State | MN |
| Zip | 56001-6076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa L Stitt | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| James A Miller | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Richard J Peller | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Suresh Devineni | Hematology/oncology | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Lynn K Gustafson | Podiatry | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Shirley M Anderson | Qualified Audiologist | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Connie Ellis Phillips | Physical Therapy | Orthopaedic and Fracture Clinic Pa | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Lisa R Davidson | Neurology | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Tonya Jane Paulsen | Physical Therapy | Orthopaedic and Fracture Clinic Pa | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Susan L Klenk | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica J Schugel | Chiropractic | 816 A S Front St, Mankato, MN 56001-2401 | |
| Paula E Prybylla | Chiropractic | 800 S Front St, Mankato, MN 56001-2401 | |
| Debbie L Carstens | Certified Clinical Nurse Specialist (cns) | 1008 S Front St, Mankato, MN 56001-2405 | |
| Darren J Tungsvik | Clinical Social Worker | Wisconsin Lutheran Child and Family Service Inc | 421 E Hickory St, Suite 402, Mankato, MN 56001-2637 |
| Bryce D Anderson | Chiropractic | 500 S Broad St, Suite 102, Mankato, MN 56001-2692 | |
| Stephanie W Putzier | Internal Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Thomas J Brennan | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Katherine A Anderson | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Malati V Pamulapati | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Karie M Soost | Physician Assistant | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Find all physicians in zip 56001 | |||
| City | MANKATO |
| Zip Code | 56001 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MANKATO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bryan P Pucik.
| 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.