BRUCE BAUKNIGHT (NPI# 1487616785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487616785 |
| Entity Type | Individual |
| Full Name | BRUCE BAUKNIGHT |
| Credential | MD |
| Practice Address |
6123 Country Club Dr Victoria TX 77904-1672 |
| Mailing Address |
1908 N Laurent St Ste 410 Victoria TX 77901-5469 |
| Practice Telephone | 3615781430 |
| Practice Fax Number | 3615780876 |
| Mailing Telephone | 3615720333 |
| Mailing Fax Number | 3613717090 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D4925 | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
D4925 | TX | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
D4925 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 099421203 | 05 | |
| TX | 099421204 | 05 | |
| TX | 161169101 | 05 | |
| TX | BLUE CROSS | 8K1333 | 01 |
| Street Address |
6123 COUNTRY CLUB DR |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801056122 | Bruce M Bauknight Md Pa | Internal Medicine | 6123 Country Club Dr, Victoria, TX 77904-1672 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1831645787 | Pronto Medical Care Pllc | Internal Medicine | 303 Sequoia Dr, Victoria, TX 77904-3657 | 2016-08-31 |
| 1063774198 | Samuel Wellington Copeland | Internal Medicine | 2705 Hospital Dr Ste 402, Victoria, TX 77901-5777 | 2012-06-14 |
| 1962782631 | Adjoa A Hanson | Internal Medicine | 601 E San Antonio St Ste 402w, Victoria, TX 77901-6052 | 2011-08-25 |
| 1689960734 | Khiem Vu Dopa | Internal Medicine | 2700 Citizens Plaza, Suite 400, Victoria, TX 77901 | 2011-06-27 |
| 1861794497 | Oscar Garza Zuniga | Internal Medicine | 106 Catherine Cir, Victoria, TX 77901-4425 | 2010-12-02 |
| 1104093913 | Divyatish Primary Care Health Services | Internal Medicine | 601 E San Antonio St Ste 304w, Victoria, TX 77901-6040 | 2008-05-12 |
| 1760667802 | John Lee Mcneill, Do, Pa | Internal Medicine | 3002 Sam Houston Dr., Victoria, TX 77904 | 2008-01-08 |
| 1396933586 | William B. Shay, M.d., P.a. | Internal Medicine | 2710 Hospital Dr Ste 102, Victoria, TX 77901-5743 | 2007-10-12 |
| 1962612887 | George Amechi Osuchukwu | Internal Medicine | 605 E San Antonio St Ste 430e, Victoria, TX 77901-6007 | 2007-05-22 |
| 1902976483 | Peter Minh Nguyen | Internal Medicine | 101 James Coleman Dr, Unit A, Victoria, TX 77904-3147 | 2006-11-09 |
| Find all providers in VICTORIA | ||||
Please comment or provide details below to improve the information on BRUCE BAUKNIGHT.
| 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.