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Deactivated NPI 1225047822 Deactivated / Inactive NPI Male Practitioner

Dr. Phuc Nguyen , MD

Rehabilitation Practitioner • Saint Cloud, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Phuc Nguyen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2006
NPI Deactivation Date May 02, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Phuc Nguyen, MD was a registered Rehabilitation Practitioner practicing in Saint Cloud, MN. Throughout an active medical career spanning 11 years, Dr. Nguyen provided care at the practice location at 4801 VETERANS DR until profile deactivation on 2017-05-02.

Practice Location & Contact Primary Location

Practice Address

4801 Veterans Dr

Saint Cloud, MN 563032015

Telephone 3202556323
Associated Practice Facility / Clinic
🏢 St. Cloud Vamc Facility NPI 1235187741

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Saint Cloud, MN (221 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

State License MN 31050

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Lois Thesing , OTR, L

Occupational Therapist

NPI 1336251768

Occupational Therapist Registered, L

Michelle Kuhlmann , OTR

Occupational Therapist

NPI 1932251279

Occupational Therapist Registered

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 02, 2017

Record deactivated on May 02, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202556323)

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Updated Business Mailing Address July 08, 2007

Registered at 2109 KILLEEN CT, SAINT CLOUD, MN 563014794

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHUC NGUYEN, M.D.

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

Rehabilitation Practitioner (License #31050 in MN)

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Initial NPI Registration & Enumeration August 05, 2006

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: 1225047822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: July 08, 2007
Deactivation Date: May 02, 2017

Mailing Address

2109 Killeen Ct

Saint Cloud, MN 563014794

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.