Search › South Carolina › 207RG0100X
Bennett Bruckner, M.D
NPI 1639270622 · on the registry since 2006
Practice
- Address
- 11 Doctors Park Dr Ste 240
Spartanburg, SC 29307 - Phone
- (864) 342-4115
- Fax
- (864) 342-4064
- Organisation at this address
- Spartanburg Medical Center
Spartanburg Medical Center
Spartanburg Medical Center
Spartanburg Medical Center
Mary Black Health System LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207RG0100X
- Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina