ROBERT TAYLER BOCKSTRUCK MD
NPI 1912526419
Internal Medicine - Addiction Medicine in Fridley, MN

Q: What is Robert Bockstruck's NPI number?

The NPI number for Robert Bockstruck is 1912526419. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Robert Bockstruck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Robert Bockstruck was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment

520 OSBORNE RD NE STE 210, FRIDLEY, MN 55432(763) 236-3800(763) 236-3821 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2025, Jul 1, 2024, Apr 14, 2020 (3 updates tracked since 2020).

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About Robert Tayler Bockstruck Md NPPES

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

ROBERT TAYLER BOCKSTRUCK MD (NPI 1912526419) is an individual addiction medicine provider in Fridley, Minnesota, licensed in Minnesota (76519) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1912526419

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameROBERT TAYLER BOCKSTRUCKCredential: MD

Location Address520 OSBORNE RD NE STE 210Fridley, MN 55432-2718

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(763) 236-3800

Fax(763) 236-3821

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 14, 2020

Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1912526419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in MN · 76519

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

520 OSBORNE RD NE STE 210, Fridley, MN 55432

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Secondary Practice Location 1

Location 12312 S 6th Street, Floor 2, Suite F256Minneapolis, MN 55454 · Phone (612) 273-9848

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

Robert Tayler Bockstruck 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 ID4284058645

PECOS Enrollment IDI20250528000638

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 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240115

Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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Other Providers at the Same Location NPPES 18

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

DR. JAMI JEYN HUGHES PSY.D, BCBA-D

Psychologist