Individual
KRISTA M BRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
147 W GREEN MEADOWS DR STE 2, GREENFIELD, IN 46140-4000
(317) 318-0367
Mailing address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01071924A
IN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
01071924A
IN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD-49601
IA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
01071924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201212140
—
IN
Enumeration date
06/15/2010
Last updated
06/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us