Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477843001 Individual Practitioner Male Practitioner

Dr. Brandon Michael Rucker , MD

Pediatrics • Summit, WI

Professional Overview & Biography Verified Profile Summary

Dr. Brandon Rucker, MD is a registered healthcare professional specializing in Pediatrics in Summit, WI. Practice services are available at 36500 AURORA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624345000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Summit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Summit, WI (1245 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

CMS Verified: 2023-10-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 62013-20

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100038333 (WI)

Secondary Practice Locations

1160 Kepler Dr

Green Bay, WI 543118321

Phone: 9202888450

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Doctor of Osteopathic Medicine (D.O.)

Christine Wallat , SLP

Speech-Language Pathologist

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Speech-Language Pathologist

NPI 1104403260

Doctor of Medicine (M.D.)

Dr. Shubhi Sehgal , MD

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NPI 1124006028

Doctor of Medicine (M.D.)

NPI 1124306113

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 03, 2023

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624345000)

📍
Updated Business Mailing Address October 03, 2023

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 2624345000)

NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2014

Registered at 1160 KEPLER DR, GREEN BAY, WI 543118321 (Tel: 9202888450)

📍
Updated Business Mailing Address July 03, 2014

Registered at 1160 KEPLER DR, GREEN BAY, WI 543118321 (Tel: 9202888450)

👤
Provider Name / Credentials Updated July 03, 2014

Recorded as BRANDON RUCKER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Pediatrics (License #62013-20 in WI)

🟢
Initial NPI Registration & Enumeration April 16, 2011

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: 1477843001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2011
Last Update: October 03, 2023
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 2624345000

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.