BRUCE THOMAS DDS
NPI 1619077583
Oral & Maxillofacial Surgery in Wisc Rapids, WI

Active since September 22, 2006PECOS Enrolled
220 24TH ST SOUTH, WISC RAPIDS, WI 54494(715) 424-8777 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bruce Thomas Dds NPPES

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

BRUCE THOMAS DDS (NPI 1619077583) is an individual oral & maxillofacial surgery provider in Wisc Rapids, Wisconsin, licensed in Wisconsin (4114) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619077583
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameBRUCE THOMASCredential: DDS
Location Address220 24TH ST SOUTHWisc Rapids, WI 54494
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1619077583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in WI · 4114
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 4114 (WI)
220 24TH ST SOUTH, Wisc Rapids, WI 54494

Other Identifiers 1

Medicaid33748100WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bruce Thomas Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Family Medicine
220 24TH ST SOUTH
WISC RAPIDS, WI 54494
Nurse Practitioner
220 24TH ST SOUTH
WISC RAPIDS, WI 54494
Optometrist
220 24TH ST SOUTH
WISC RAPIDS, WI 54494
Family Medicine
220 24TH ST SOUTH
WISC RAPIDS, WI 54494

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619077583, enumerated as an "individual" on September 22, 2006.

The provider is located at 220 24TH ST SOUTH WISC RAPIDS, WI 54494 and the phone number is (715) 424-8777.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.