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Active NPI 1417091455 Individual Practitioner Male Practitioner

Dr. Bruce Keith Thordal , PhD

Psychologist - Cognitive & Behavioral • Eagan, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Thordal, PhD is a certified Psychologist - Cognitive & Behavioral practicing in Eagan, MN. With approximately 51 years of clinical experience since completing medical education in 1975, Dr. Thordal delivers high-quality medical care to the local community at 2870 HIGHVIEW TER.

Dr. Thordal accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric services complicated by communication factor, group psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2870 Highview Ter

Eagan, MN 551211110

Telephone 6128601238
Fax 9529481277
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Eagan, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
51 Yrs Matches City Avg
City Avg: 51.0 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Eagan, MN (54 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thordal (51 Years) 51 Yrs
Eagan Specialty Average (51.0 Years) 51.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
168 19 $248.66 $147.30
90785 Psychiatric services complicated by communication factor
164 19 $25.00 $14.23

Medical Specialties & State Licenses

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License MN LP1135

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical Assistance
201747400 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2870 HIGHVIEW TER, EAGAN, MN 551211110 (Tel: 6128601238)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2870 HIGHVIEW TER, EAGAN, MN 551211110 (Tel: 6128601238)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE THORDAL, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP1135 in MN)

🟢
Initial NPI Registration & Enumeration February 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417091455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2870 Highview Ter

Eagan, MN 551211110

Phone: 6128601238

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.