Bennett H Bruckner (NPI# 1639270622, PAC ID# 6608973169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1639270622 |
| PAC ID by PECOS | 6608973169 |
| Professional Enrollment ID | I20140806001729 |
| Full Name | Bennett H Bruckner |
| Organization Legal Name | SPARTANBURG MEDICAL CENTER |
| Address |
11 Doctors Dr Suite 240 Spartanburg SC 29307-1008 |
| Phone Number | 8643424115 |
| Gender | M |
| Credential | MD |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3072425297 |
| Number of Group Practice Members | 685 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420007 | SPARTANBURG MEDICAL CENTER |
| 420108 | UNION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11 Doctors Dr, Suite 240, Spartanburg, SC 29307-1008 | 8643424115 | SPARTANBURG MEDICAL CENTER |
| Organization Legal Name | SPARTANBURG MEDICAL CENTER |
| Physicians | 609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Pascal Norris Iv | Orthopedic Surgery | Spartanburg Medical Center | 480 Floyd Rd, Spartanburg, SC 29307-1518 |
| David M Cykert | Internal Medicine | Spartanburg Medical Center | 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301-1249 |
| Amber C Flynn | Nurse Practitioner | Spartanburg Medical Center | 12230 Asheville Hwy, Inman, SC 29349-1845 |
| Allyson L Cash | Nurse Practitioner | Spartanburg Medical Center | 2755 S Hwy 14 1210, Greer, SC 29650 |
| Emily B Staggs | Family Medicine | Spartanburg Medical Center | 1341 N Limestone St, Gaffney, SC 29340-4733 |
| Whitney Brooke Terry | Physician Assistant | Spartanburg Medical Center | 100 E Wood St, Spartanburg, SC 29303-3004 |
| Vanessa Hartmann | Nurse Practitioner | Spartanburg Medical Center | 2846 N Old Laurens Rd, Gray Court, SC 29645-3157 |
| Kathleen H Hall | Nurse Practitioner | Spartanburg Medical Center | 511 Cross Anchor Rd, Woodruff, SC 29388-2328 |
| Isatu S Fofana | Nurse Practitioner | Spartanburg Medical Center | 139 Medical Ctr Dr, Gaffney, SC 29340-4823 |
| James David Mcdermott | Orthopedic Surgery | Spartanburg Medical Center | 9768 Warren H Abernathy Hwy B, Spartanburg, SC 29301-5201 |
| Street Address |
11 DOCTORS DR SUITE 240 |
| City | SPARTANBURG |
| State | SC |
| Zip | 29307-1008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynsey J Cox | Obstetrics/gynecology | Joseph Paul Vice Md Pllc | 11 Doctors Dr, Ocean Springs, MS 39564-5709 |
| Joseph P Vice | Obstetrics/gynecology | Joseph Paul Vice Md Pllc | 11 Doctors Dr, Ocean Springs, MS 39564-5709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mit Kishorchandra Desai | Family Medicine | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Tameka L Garrett | Nurse Practitioner | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Allison R Edwards | Internal Medicine | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Donna-marie Koroma | Family Medicine | Spartanburg Medical Center | 11 Doctors Park Dr, Suite 200, Spartanburg, SC 29307-1008 |
| Deborah Anderson | Nurse Practitioner | Spartanburg Medical Center | 11 Doctors Park Dr, Suite 220, Spartanburg, SC 29307-1008 |
| Gabor F Sovenyhazy | Colorectal Surgery (proctology) | 11 Doctors Park Dr, Suite 210, Spartanburg, SC 29307-1008 | |
| Angela Nicole Gary | Nurse Practitioner | 110 Dillon Dr, Spartanburg, SC 29307-1018 | |
| Ann Marie Kenney | Internal Medicine | Mary Black Physicians Group LLC | 148 Dillon Dr, Spartanburg, SC 29307-1018 |
| Ramona R Hrysikos | Registered Dietitian Or Nutrition Professional | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Kristen B Koch | Physician Assistant | Foothills Nephrology PC | 126 Dillon Dr, Spartanburg, SC 29307-1018 |
| Find all physicians in zip 29307 | |||
| City | SPARTANBURG |
| Zip Code | 29307 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SPARTANBURG + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Bennett H Bruckner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.