BRANDON JOHN BUKOVITZ MD
NPI 1831768399
Internal Medicine in Appleton, WI

Q: What is Brandon Bukovitz's NPI number?

The NPI number for Brandon Bukovitz is 1831768399. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Q: What is Brandon Bukovitz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Bukovitz was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since June 21, 2021PECOS EnrolledAccepts Medicare Assignment

3916 N INTERTECH CT, APPLETON, WI 54913(920) 996-1000 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Jul 26, 2023, Jun 21, 2021 (3 updates tracked since 2021).

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About Brandon John Bukovitz Md NPPES

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

BRANDON JOHN BUKOVITZ MD (NPI 1831768399) is an individual internal medicine provider in Appleton, Wisconsin, licensed in Wisconsin (81497-20) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of University Of Wisconsin School Of Medicine (2021).

NPPES Registry Identity

NPI1831768399

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBRANDON JOHN BUKOVITZCredential: MD

Location Address3916 N INTERTECH CTAppleton, WI 54913-6957

Mailing Address3916 N Intertech CtAppleton, WI 54913-6957 · (920) 996-1000

Phone(920) 996-1000

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2021

Enumeration DateJune 21, 2021

Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1831768399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 81497-20

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3916 N INTERTECH CT, Appleton, WI 54913

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Other Identifiers 1

Medicaid100252233WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon John Bukovitz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446788814

PECOS Enrollment IDI20250113002514

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521326

Location1405 Mill StNew London, WI 54961 · Waupaca County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RACHEL ROCKWEILER PA-C

Physician Assistant