Individual
WILLIAM A BRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
E6259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105383701
—
TX
01
—
200021212
RAILROAD MEDICARE
TX
01
—
872357
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2006
Last updated
04/22/2020
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