DR. KURT F. BRUCKMEIER (NPI# 1083610117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083610117 |
| Entity Type | Individual |
| Full Name | DR. KURT F. BRUCKMEIER |
| Credential | M.D. |
| Practice Address |
101 Asbury Cir Hattiesburg MS 39402-1302 |
| Practice Telephone | 6012685200 |
| Practice Fax Number | 6012685211 |
| Mailing Telephone | 6012685200 |
| Mailing Fax Number | 6012685211 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
09945 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00016251 | 05 | |
| RAILROAD MEDICARE | P00064618 | 01 |
| Street Address |
101 ASBURY CIR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619068723 | South Mississippi Intraoperative Monitoring, LLC | Legal Medicine | 101 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-09-27 |
| 1124069521 | Sivarama Kotikalapudi | Internal Medicine | 101 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164682464 | Harish M. Madnani M.d.p.c | Internal Medicine | 251 Hospital Dr, B, Tylertown, MS 39667-2025 | 2008-06-11 |
| 1477564110 | Mohamed Bockarie Jah | Internal Medicine | 1201 22nd Ave, Meridian, MS 39301-4010 | 2006-08-10 |
| 1740741362 | Safa Osman | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2019-03-27 |
| 1962865162 | Daniel Hester | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-04 |
| 1891194635 | Rola Abi Saleh | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2014-08-18 |
| 1528221009 | Vicky C Pilkington | Internal Medicine | 1200 N State St, Suite 480, Jackson, MS 39202-2000 | 2008-07-06 |
| 1477621324 | Beverly Gwen Windham | Internal Medicine | 2500 North State Street, Department of Medicine Division of Geriatrics, Jackson, MS 39216 | 2006-11-30 |
| 1396816989 | Holland M Addison | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2006-11-13 |
| 1760598189 | William Frederick Seith Jr. | Internal Medicine | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-08-21 |
| 1457375909 | William M. Meeks | Internal Medicine | 2500 North State Street, Department of Medicine/division of Geriatrics, Jackson, MS 39216-4500 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on DR. KURT F. BRUCKMEIER.
| 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.