ELAINE J BRUCKNER (NPI# 1063596567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063596567 |
| Entity Type | Individual |
| Full Name | ELAINE J BRUCKNER |
| Credential | PH.D. |
| Practice Address |
970 W Wooster St Suite 124 Bowling Green OH 43402-2643 |
| Practice Telephone | 4193526666 |
| Practice Fax Number | 4193531117 |
| Mailing Telephone | 4193526666 |
| Mailing Fax Number | 4193531117 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5040 | OH | Behavioral Health & Social Service Providers |
| Street Address |
970 W WOOSTER ST SUITE 124 |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282027 | Brian M O'neill | Dentist | 970 W Wooster St, Ste 126, Bowling Green, OH 43402-2643 | 2005-08-16 |
| 1871946822 | Mary Clare Zak | Nurse Practitioner | 970 W Wooster St, Bowling Green, OH 43402-2643 | 2016-07-14 |
| 1386071652 | Promedica Genito-urinary Surgeons LLC | Urology | 970 W Wooster St, Suite 129, Bowling Green, OH 43402-2643 | 2013-10-02 |
| 1508121708 | Jamie Babcock | Registered Nurse | 970 W Wooster St, Bowling Green, OH 43402-2643 | 2012-07-12 |
| 1265728000 | Melissa Anne Moore | Pediatrics | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-1600 | 2011-06-20 |
| 1497910061 | Stephanie Marie Weckesser | Pediatrics | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 | 2008-07-23 |
| 1891956009 | Eric Scott Rader | Pediatrics | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 | 2008-06-19 |
| 1356516405 | Whc Medical Services LLC | Family Medicine | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 | 2008-04-29 |
| 1154441665 | Toledo Clinic Incorporated | Eyewear Supplier (Equipment, not the service) | 970 W Wooster St, Ste 221, Bowling Green, OH 43402 | 2007-03-29 |
| 1588796973 | Vision Associates Inc | Ophthalmology | 970 W Wooster St, Suite 221, Bowling Green, OH 43402-2643 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914990 | Joshua B. Grubbs | Psychologist | 822 E Merry Psychology Building Suite 300, Bowling Green, OH 43403-0001 | 2020-02-17 |
| 1235683723 | Kathy Seigler | Psychologist | 236 Beech Bend Rd, Bowling Green, KY 42101-7602 | 2016-08-12 |
| 1417315532 | Sally Kuhlenschmidt | Psychologist | 1906 College Heights Blvd. #21030, Department of Psychology, Western Kentucky University, Bowling Green, KY 42101-1030 | 2016-02-03 |
| 1730502014 | Abby Braden | Psychologist | Department of Psychology Bowling Green State, Bowling Green, OH 43403-3021 | 2014-01-22 |
| 1972886109 | University of Louisville Research Foundation | Psychologist | 720 Second Ave, Ste 102, Bowling Green, KY 42101-1778 | 2011-09-23 |
| 1316256571 | Kristen Thacker Andrews | Psychologist | 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103-7947 | 2010-10-05 |
| 1083921787 | Bowling Green State University | Psychologist | 822 E Merry Street Bowling Green State University, 300 Psychology Building, Bowling Green, OH 43403 | 2010-09-02 |
| 1033382650 | Robert A Carels | Psychologist | 822 East Merry Street Psychological Services Center, 300 Psychology Building, Bowling Green State University, Bowling Green, OH 43403-0232 | 2008-04-03 |
| 1710102439 | Marilyn Louise Logsdon | Psychologist | 136 One Half S Main St, Bowling Green, OH 43402 | 2007-04-16 |
| 1477565240 | John W Balchunas | Psychologist | 1215 High St, Bowling Green, KY 42101-2541 | 2006-08-12 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on ELAINE J BRUCKNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.