NPIMap

Organization Active NPI

Total Access Urgent Care, PC

  • Urgent Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1053909960
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TOTAL ACCESS URGENT CARE, PC
Practice address
1710 W Lake St
Minneapolis, MN 55408-4849
Phone
(314) 238-4660
Fax
(314) 270-3694
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TOTAL ACCESS URGENT CARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Bruckel, MD
Title
Ceo
Phone
(636) 556-0114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1710 W Lake St
Minneapolis, MN 55408-4849

Mailing address

13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (314) 238-4660

Other identifiers 1

IdentifierTypeStateIssuer
1962684886OtherNPI MAIN

National Provider Directory

National Provider Directory
Tax ID family
Total Access Urgent Care PC35 organizations share this tax ID, including this one
Part of
Total Access Urgent Care PC

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1053909960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114503",
            "telephone_number": "314-238-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084849",
            "telephone_number": "314-238-4660",
            "fax_number": "314-270-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ACCESS URGENT CARE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL ACCESS URGENT CARE, PC",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "BRUCKEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-556-0114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MAIN",
            "identifier": "1962684886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.