Active NPI
Frank A Bures, MD
- Dermatology Physician
- La Crosse, WI
National Provider Identifier
1992715577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 19577
- Practice address
- 815 10TH St S
La Crosse, WI 54601 - Phone
- (608) 784-6648
- NPI assigned
- Aug 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 24193 | MN | |
| Dermatology Physician | 207N00000X | 19577 | WI | Primary |
Addresses
Primary practice location
815 10TH St S
La Crosse, WI 54601
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (608) 785-0940
Other practice location 1
855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3680
Other practice location 2
855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3680
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19577 | WI | MD | Pharmacist |
| 24193 | MN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger F Harwich Charles W Rogers Sidney Hughes Etal | 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.
-
- Community/Retail Pharmacy
- Winona, MN
- NPI 1154341501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1992715577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "608-785-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 10TH ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "608-784-6648"
}
],
"practiceLocations": [
{
"address_1": "855 Mankato Ave",
"address_purpose": "LOCATION",
"city": "Winona",
"state": "MN",
"postal_code": "559874868",
"country_code": "US",
"telephone_number": "507-454-3680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 Mankato Ave",
"address_purpose": "LOCATION",
"city": "Winona",
"state": "MN",
"postal_code": "559874868",
"country_code": "US",
"telephone_number": "507-454-3680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURES",
"first_name": "FRANK",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "24193",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "19577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.