Dr Bennett Howard Bruckner, MD | |
11 Doctors Park Dr Ste 240, Spartanburg, SC 29307-1008 | |
(864) 342-4115 | |
(864) 342-4064 |
Full Name | Dr Bennett Howard Bruckner |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 51 Years |
Location | 11 Doctors Park Dr Ste 240, Spartanburg, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639270622 | NPI | - | NPPES |
00473228A | Medicaid | GA | |
366222 | Medicaid | SC | |
SC34105206 | Other | SC | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 034547 (Georgia) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 36622 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760423503 PECOS PAC ID: 3072425297 Enrollment ID: O20040503001385 |
Mailing Address | Practice Location Address |
---|---|
Dr Bennett Howard Bruckner, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Dr Bennett Howard Bruckner, MD 11 Doctors Park Dr Ste 240, Spartanburg, SC 29307-1008 Ph: (864) 342-4115 |
Dr. Tondre Buck, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Adam Evec, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023 | |
Larry E Kibler, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 | |
Dr. Vikas Dembla, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Dr. Andrew Omoit Ekatan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353 | |
Stetson Reed Bickley, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Nalin K Srivastava, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 |