DR. JUSTIN LEE BRUCKER (M.D.) – Diagnostic Radiology Physician, NPI 1194997601

DR. JUSTIN LEE BRUCKER (M.D.) is a healthcare provider. based in Middleton, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 60568-20 (WI). The NPI Number for DR. JUSTIN LEE BRUCKER (M.D.) is 1194997601

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN LEE BRUCKER (M.D.)
NPI
1194997601
Phone
(999) 999-9999
Address
7974 UW HEALTH CT
Enumeration Date
25 March 2008
Last Update Date
15 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
6086617200
Graduation Year
2008 (18 years ago)
PAC ID
0446491633
Group Practice PAC ID
3870489586
Professional Enrollment ID
I20130731000362
Address ID
WI537117109FI3051XMAIN300

Contacts

Secure Messaging
jbrucker670672@direct.uwhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

1,101 DIAGNOSTIC RADIOLOGY in WI

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Provider Addresses for DR. JUSTIN LEE BRUCKER (M.D.)

  • 7974, UW Health Court, Discovery Springs, City of Middleton, Dane County, Wisconsin, 53562, United States

    MIDDLETON, WI 535625531

    Phone: (999) 999-9999

    Type: Mailing

  • University Hospital Outpatient Pharmacy, 600, Highland Avenue, Madison, Dane County, Wisconsin, 53705-2221, United States

    MADISON, WI 537921507

    Phone: (608) 263-8799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1047 days ago).

Enrollment records

1

Earliest due date

2023-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130731000362IDiagnostic RadiologyWI2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,83919$0
A9577Injection, gadobenate dimeglumine (multihance), per ml46327$0
70553Mri scan of brain before and after contrast169168$0
70450Ct scan head or brain without contrast7974$0
70491Ct scan of soft tissue of neck with contrast6564$0
View full utilization report →

Insurance plans in this area (ZIP 53562)

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Provider's Procedures

DR. JUSTIN LEE BRUCKER (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWI71010X-ray of chest, 1 view, front2824

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870489586View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
-WI
Diagnostic RadiologyIA
Nurse PractitionerWI
-WI
Diagnostic RadiologyWI
-WI
Clinical Social WorkerWI
-WI
Diagnostic RadiologyWI

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Frequently asked questions

What number should I use to identify DR. JUSTIN LEE BRUCKER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1194997601 for DR. JUSTIN LEE BRUCKER (M.D.).
Is DR. JUSTIN LEE BRUCKER (M.D.)'s NPI status active today?
Active status means DR. JUSTIN LEE BRUCKER (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. JUSTIN LEE BRUCKER (M.D.) provide?
DR. JUSTIN LEE BRUCKER (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JUSTIN LEE BRUCKER (M.D.)?
DR. JUSTIN LEE BRUCKER (M.D.) shows a connection to Middleton, Wisconsin in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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