Physician Assistant
Mr. TODD BRUSS ATC, LAT, CSCS, PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417178443 · enumerated 2007-05-01 · record updated 2026-04-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1035 KEPLER DR, GREEN BAY, WI, 54311-8320 (920) 490-9046 Fax (920) 405-8005 Google Maps Apple Maps OpenStreetMap
- Practice location 1110 KEPLER DR, GREEN BAY, WI, 54311-8306 (920) 288-5555 Fax (920) 288-5550 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 3058 WI
- Specialist/Technologist, Athletic Trainer 2255A2300X · License 350-039 WI
Published links
In this directory
Locations and evidence
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Practice location
GREEN BAY, WI, 543118306
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.