Individual provider Active NPI

Bruce J Thaler, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1477572865
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME127529 Issued in FL
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301111424 MI
Diagnostic Radiology Physician 2085R0202X MD424099 PA
Diagnostic Radiology Physician 2085R0202X 25MA09857900 NJ
Diagnostic Radiology Physician 2085R0202X ME127529 FL Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX, MO, FL, MN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040818000490 PA Practitioner - Diagnostic Radiology 4789657636 Reassigns benefits to 9 organizations
I20170810001577 TX Practitioner - Diagnostic Radiology 4789657636 Reassigns benefits to 4 organizations
I20200403000171 MO Practitioner - Diagnostic Radiology 4789657636 Reassigns benefits to 1 organization
I20210521001251 FL Practitioner - Diagnostic Radiology 4789657636 Reassigns benefits to 11 organizations
I20251230001809 MN Practitioner - Diagnostic Radiology 4789657636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Donalsonville Hospital IncGroup PAC ID 7113919820, 63 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians
Radiologists Associated in Duluth LTDGroup PAC ID 4284547209, 45 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians

Practice addresses (Care Compare)

Naples, FL 34114
Phone (615) 312-0600

102 Hospital Cir
Donalsonville, GA 39845-1100

110 S Front St
Unit 800
Philadelphia, PA 19106-3065
Phone (866) 722-1655

110 S Front St Unit
800 Bruce Thaler MD
Philadelphia, PA 19106-3065
Phone (832) 915-2534

11650 Horizon Rd
Parkland, FL 33076-2661
Phone (623) 299-8743

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

3125 Capistrano LN
Naples, FL 34114-9799
Phone (866) 479-2711

3755 Montreux LN
Apt 103
Naples, FL 34114-6483
Phone (623) 299-8743

425 N Ocean Blvd
Apt 4
Boca Raton, FL 33432-4203
Phone (952) 595-1100

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME127529FLMDDiagnostic Radiology Physician
4301111424MIMDDiagnostic Radiology Physician
25MA09857900NJMDDiagnostic Radiology Physician
2203MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Oct 19, 2017 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Ton San Xavier Health Center CurrentSince Jul 2, 2017 Accepting new patients
Ton Sells Hospital CurrentSince Jul 2, 2017 Accepting new patients
Radiology Associates of Muncie, Inc. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Ton San Simon Health Center CurrentSince Jul 2, 2017 Accepting new patients
Cox Barton County Hospital Current Accepting new patients
Donalsonville Hospital Inc CurrentSince Dec 15, 2018 Accepting new patients
Warren General Hospital CurrentSince Dec 1, 2024 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 10, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Community Memorial Hospital Association CurrentSince Oct 19, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Nov 14, 2017 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Aug 2, 2019 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Radiologists Associated in Duluth LTD Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Feb 6, 2018 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Oct 19, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2021 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Borg & Ide Imaging, PC Diagnostic Radiology Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Borg Imaging Group LLP Past Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients

Locations (25 of 47)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496

1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100

16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1477572865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALER",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301111424",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD424099",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09857900",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME127529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.