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NPISignal

Individual Healthcare Provider

Timothy Peter Bruce, M.D.

NPI Record: ActivePlastic Surgery
NPI1013228907
Glendale, Wisconsin

Provider's NPPES record last updated: September 1, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1013228907
Primary Specialty
Plastic Surgery
Practice Location
Glendale, Wisconsin
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:37 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Plastic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

    Taxonomy code 208200000X
  • Emergency Medicine

    Undersea and Hyperbaric Medicine

    Allopathic & Osteopathic Physicians

    A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

    Taxonomy code 207PE0005X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Plastic Surgery (Wisconsin)
80034-20
Emergency Medicine (Indiana)
01070075A
Plastic Surgery (Illinois)
125.068486
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

6002 N Port Washington Rd

Glendale, Wisconsin 53217-4524

Phone: (414) 439-3000

Additional Practice Location

N4w22370 Bluemound Rd

Waukesha, Wisconsin 53186-1683

Phone: (414) 439-3000

Record Information

Enumeration Date
June 25, 2010
Provider's NPPES Record Last Updated
September 1, 2022
Certification Date
September 1, 2022
NPISignal NPPES Dataset
August 2026

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