Active NPI
James R. Bukstein, M.D.
- Pediatrics Physician
- Brooklyn Park, MN
National Provider Identifier
1366419772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23483
- Practice address
- 8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720 - Phone
- (763) 425-1211
- Fax
- (763) 425-6277
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23483 | MN | Primary |
Addresses
Primary practice location
8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720
Mailing address
8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720
Phone (763) 425-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 481295600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Pediatrics, LTD. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1366419772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 EDINBROOK PKWY",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554433720",
"telephone_number": "763-425-1211",
"fax_number": "763-425-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 EDINBROOK PKWY",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554433720",
"telephone_number": "763-425-1211",
"fax_number": "763-425-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKSTEIN",
"first_name": "JAMES",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "23483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "481295600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.