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
Fax: (770) 962-8489
Website:
Authorized official contact:
Name: Bruckner, Bennett Howard Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033370762 NPPES
Georgia Other 1639270622 NPI
Georgia MEDICAID 00473228A NPI

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