NPI 1770012882 · live from the CMS NPI Registry
Brandon Robert Bukowski, M.D.
Orthopaedic Surgery in Mankato, MN. National Provider Identifier 1770012882, active.
NPI record
| NPI | 1770012882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1025 Marsh St, Mankato, MN 56001 |
| Practice phone | 507-625-4031 |
| Mailing address | 200 1st St Sw, Rochester, MN 55905 |
| Enumerated | June 12, 2017 |
| Last updated | August 31, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 64065 (MN) |
| Orthopaedic Surgery | 207X00000X | 81559 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.