Individual
MR. ROBERT BRUCE BORUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1911 HAMPTON ST, COLUMBIA, SC 29201
(803) 256-1511
(803) 256-7333
Mailing address
3321 FOREST DRIVE, SUITE 4, COLUMBIA, SC 29204
(803) 661-9519
(803) 661-9819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
013376
SC
207QA0505X
Adult Medicine Physician
Primary
13376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133769
—
SC
Enumeration date
06/24/2005
Last updated
08/20/2025
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