Brincko, Bruce J

Brincko, Bruce J is an individual health care provider with primary practice located at 1275 E North St , Crown Point IN 46307-3538. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Brincko, Bruce J can be contacted via phone (219) 663-9446.

Contact Information

Primary practice address
1275 E North St Crown Point IN 46307-3538
Phone: (219) 663-9446
Fax: (219) 663-9450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 07000514 Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000514 Indiana

Profile Details

NPI number 1487647277
LBN Legal business name Brincko, Bruce J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Mar 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487647277 NPPES
Indiana MEDICAID 100168570

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