Individual
DR. DARREN C BRUCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 E COURT ST, PARIS, IL 61944-2460
(217) 465-4141
(812) 299-3263
Mailing address
721 E COURT ST, PARIS, IL 61944-2420
(217) 465-4141
(217) 465-5615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01049016A
IN
208M00000X
Hospitalist Physician
Primary
036159332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200211110
—
IN
01
—
P00258235
RAILROAD MEDICARE
IN
Enumeration date
02/10/2006
Last updated
05/13/2022
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