Bruce Cecil Rhoades, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17878 Issued in WI

Practice address

3001 US Highway 12 E Ste 160
Menomonie, WI 54751-3045

Phone

(715) 231-2702

Fax

(715) 232-5987

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184713448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E STE 225",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513045",
            "telephone_number": "715-231-2771",
            "fax_number": "715-232-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E STE 160",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513045",
            "telephone_number": "715-231-2702",
            "fax_number": "715-232-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "BRUCE",
        "middle_name": "CECIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "17878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143050",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.