Noel Brucker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

38800 Issued in CO

Practice address

3830 W 121St PL
Broomfield, CO 80020-7921

Phone

(303) 410-8041

Fax

(303) 410-8044

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arvada Pediatric Associates, PC

  • Pediatrics Physician
  • Arvada, CO
  • NPI 1215084652
  NPD (past)
• Arvada Pediatric Associates, PC

  dba Arvada Pediatric Associate North

  • Pediatrics Physician
  • Broomfield, CO
  • NPI 1598433401
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093864928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W 121ST PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207921",
            "telephone_number": "303-410-8041",
            "fax_number": "303-410-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 121ST PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207921",
            "telephone_number": "303-410-8041",
            "fax_number": "303-410-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKER",
        "first_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "38800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90637038",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cora Brotherton
• Catherine Brown, LPCC
• Erin Brown, COTA/L
• Julie W. Brown, FNP-C
• Kathy (Kathleen) Kay Brown, MS, CNM
• Alice Brunecky, M.D., DABMA
• Erin Brunelle
• Eric A Buccello, PTA
• Nathan Thomas Bucci, MSN, APRN, FNP-C
• Building Block PT LLC

• Pediatrics Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.