Individual
DR. BENNETT HOWARD BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 DOCTORS PARK DR STE 240, SPARTANBURG, SC 29307-1008
(864) 342-4115
(864) 342-4064
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
034547
GA
207RG0100X
Gastroenterology Physician
Primary
36622
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473228A
—
GA
05
—
366222
—
SC
01
—
SC34105206
MEDICARE PIN
SC
Enumeration date
09/25/2006
Last updated
12/08/2020
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