Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN BRUCKNER, M.D.
Active Sole ProprietorBRIAN BRUCKNER, M.D. is a General Practice healthcare provider located in LOCKPORT, Illinois. NPI 1912232331 is currently active in the NPPES registry. Verify at CMS.
General Practice · LOCKPORT, IL
Registration Details
- NPI Number
- 1912232331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2009 (16.838119980384 yrs)
- Last Updated
- Oct 3, 2009
- License
-
036.053254 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16329 WEBER RDLOCKPORT, IL, 604416558Browse IL providers · Browse ZIP 60441
- Phone
- 8152748248
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.