Brian A Bucina, D.O.
Individual provider Active NPI Surgery Physician · Winslow, AZ
NPI 1902010549 · NPPES record last updated Jul 20, 2016
Key facts
- NPI
- 1902010549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 5101016779 (MI)
- Practice address
- 200 Lee St
Winslow, AZ 86047-2603 - Phone
- (928) 289-3396
- Fax
- (928) 289-2801
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Winslow Memorial Hospital Inc
Practice addresses (Care Compare)
1501 N Williamson Ave
Winslow, AZ 86047-2735
200 Lee St
Winslow, AZ 86047-2603
Phone (928) 289-3396
Hospital & facility affiliations
- Little Colorado Medical Center
- Flagstaff Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130524000604 | AZ | Practitioner - General Surgery | 3779751789 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Memorial Hospital Inc | Current |
Accepting new patients |
Locations
200 Lee St
Winslow, AZ 86047
Phone (928) 226-6400
1500 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-3396
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101016779 | MI | Yes |
Addresses
Primary practice location
200 Lee St
Winslow, AZ 86047-2603
Mailing address
200 Lee St
Winslow, AZ 86047-2603
Phone (928) 289-3396
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 787516 | Medicaid | AZ |
Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.