Bruckner, Brian Allen
Bruckner, Brian Allen is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 440 , Hollywood FL 33021-5430. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Bruckner, Brian Allen can be contacted via phone (954) 265-6356.Contact Information
Primary practice address
1150 N 35Th Ave Ste 440
Hollywood FL 33021-5430
Phone: (954) 265-6356
Fax: (954) 985-5154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 30631 | Mississippi |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 66242 | Tennessee |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | K7670 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 66242 | Tennessee |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 30631 | Mississippi |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME141685 | Florida |
Profile Details
| NPI number | 1871573097 |
|---|---|
| LBN Legal business name | Bruckner, Brian Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Sep 9th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871573097 | NPPES |
| Florida | MEDICAID | 107116700 |
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