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BRUCE A LUCCAS, MD, LLC
NPI 1023204963
Family Medicine in Racine, WI

Active since September 24, 2007
3805B SPRING ST, STE 130, RACINE, WI 53405(262) 631-8750(262) 631-8754 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce A Luccas, Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE A LUCCAS, MD, LLC (NPI 1023204963) is a healthcare organization registered as a family medicine in Racine, Wisconsin and active in the NPI registry since September 2007. The organization lists Patty Moreno, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023204963
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRUCE A LUCCAS, MD, LLC
Location Address3805B SPRING ST, STE 130Racine, WI 53405-1641
Mailing Address3805b Spring St, Ste 130Racine, WI 53405-1641 · (262) 631-8750 · Fax (262) 631-8754
Phone(262) 631-8750
Fax(262) 631-8754
Organization SubpartNo
Authorized OfficialPatty MorenoOffice Manager · (262) 631-8750
Enumeration DateSeptember 24, 2007
Last NPPES UpdateMay 12, 2011
✔ NPI 1023204963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 29473
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3805B SPRING ST, Racine, WI 53405
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Other Identifiers 2

Medicare PIN000052130WI
Medicare UPINE52651WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDER PAUL SINGH
Ophthalmology
3805B SPRING ST, SUITE 140
RACINE, WI 53405
Racine County (262) 637-8835
AHMED SIDDIG MUHAMMED AHMED MD
Psychiatry & Neurology (Neurology)
3805B SPRING ST, STE 320
RACINE, WI 53405
Racine County (262) 687-8322
DRS DECHECK AND MATACZYNSKI MD SC
Family Medicine
3805B SPRING ST, SUITE250
MOUNT PLEASANT, WI 53405
Racine County (262) 634-6679
JAMES SCARPACI MSW LCSW CADC III
Social Worker (Clinical)
3805B SPRING ST, SUITE 20
MOUNT PLEASANT, WI 53405
Racine County (262) 687-2222
DR. JAMES DEAN MATACZYNSKI MD
Family Medicine
3805B SPRING ST, SUITE 250
MOUNT PLEASANT, WI 53405
Racine County (262) 634-6679
MICHAEL DEROSE LCSW
Social Worker (Clinical)
3805B SPRING ST, SUITE 320
MOUNT PLEASANT, WI 53405
Racine County (262) 687-2222
STEPHEN V. MAWN M.D.
Preventive Medicine (Occupational Medicine)
3805B SPRING ST, SUITE 260
RACINE, WI 53405
Racine County (262) 687-6150
STEPHEN J PRUETT
Optometrist
3805B SPRING ST, SUITE 140
RACINE, WI 53405
Racine County (262) 637-8835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce A Luccas, MD, LLC's NPI number?

The NPI number for Bruce A Luccas, MD, LLC is 1023204963. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Bruce A Luccas, MD, LLC located?

Bruce A Luccas, MD, LLC is located at 3805B Spring St Ste 130, Racine, WI 53405. The listed phone number is (262) 631-8750.

What is Bruce A Luccas, MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bruce A Luccas, MD, LLC was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.