Bruce R Krygowski, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

21353020 Issued in WI

Practice address

1840 Post Road
Suite 7
Plover, WI 54677-2832

Phone

(715) 344-1513

Fax

(715) 344-2261

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• BR Krygowski MD Inc

  • Plastic Surgery Physician
  • Plover, WI
  • NPI 1558468249
  Authorized official Same address or phone

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1790960433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 POST ROAD",
            "address_2": "SUITE 7",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "546772832",
            "telephone_number": "715-344-1513",
            "fax_number": "715-344-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 POST ROAD",
            "address_2": "SUITE 7",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "546772832",
            "telephone_number": "715-344-1513",
            "fax_number": "715-344-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYGOWSKI",
        "first_name": "BRUCE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "WI",
            "license": "21353020",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WI",
            "license": "21353020",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel David Klesmith, MD
• Kerry M Kluck
• Derek Konkol
• Deborah L Kosobucki, APNP
• Leah Krueger, MD
• Kathleen Lynnette Kube, LPN
• Lynn Kuklinski, RN
• Tiffany L Kula, LMFT
• Larry Woods, OD
• Kimberley Louise Laube, PHARMD

• Plastic and Reconstructive Surgery Physician in Plover, WI
• Providers in Plover, WI by specialty
• Plastic and Reconstructive Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.