Bennett H. Bruckner,M.D., P.C.
LBN: Bennett H. Bruckner,M.D., P.C.
Bennett H. Bruckner,M.D., P.C. is an health care organization with primary practice located at 575 Professional Dr Suite 290, Lawrenceville GA 30045-3333. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Bennett H. Bruckner,M.D., P.C. can be contacted via phone (770) 962-9410, or through Bruckner, Bennett Howard via phone (770) 962-9410.
Contact Information
Primary practice address
575 Professional Dr Suite 290
Lawrenceville GA 30045-3333
Phone: (770) 962-9410
Fax: (770) 962-8489
Website:
Authorized official contact:
Name: Bruckner, Bennett Howard Doctor of Medicine (MD)
Phone: (770) 962-9410
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 034547 | Georgia |
Profile Details
NPI number | 1033370762 |
---|---|
LBN Legal business name | Bennett H. Bruckner,M.D., P.C. |
DBA Doing business as | |
Authorized official | Bruckner, Bennett Howard Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 25th, 2008 |
Last updated | Jun 25th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033370762 | NPPES |
Georgia | Other | 1639270622 | NPI |
Georgia | MEDICAID | 00473228A | NPI |
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