DR. WILLIAM C. BRUKER JR. (NPI# 1699826743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699826743 |
Entity Type | Individual |
Full Name | DR. WILLIAM C. BRUKER JR. |
Credential | M.D. |
Practice Address |
300 Ridge Medical Plaza Edgefield SC 29824 |
Mailing Address |
325 Colleton Ave Aiken SC 29801-7101 |
Practice Telephone | 8036371173 |
Mailing Telephone | 8036490308 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
20-09982 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 099828 | 05 |
Street Address |
300 RIDGE MEDICAL PLAZA |
City | EDGEFIELD |
State | SC |
Zip Code | 29824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023080439 | Edgefield County Hospital | General Acute Care Hospital | 300 Ridge Medical Plaza, Edgefield, SC 29824-0590 | 2006-02-02 |
1619030327 | Jack Russell Cannon II | Radiology | 300 Ridge Medical Plaza, Edgefield, SC 29824-9986 | 2006-12-18 |
1538241922 | Edgefield County Hospital | General Acute Care Hospital | 300 Ridge Medical Plaza, Edgefield, SC 29824-0590 | 2006-10-19 |
1265514657 | Edgefield County Hospital | Medicare Defined Swing Bed Unit | 300 Ridge Medical Plaza, Edgefield, SC 29824-0590 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386993483 | Kim Massey Holsomback | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
1093962359 | Edgefield County Senior Citizens Council | Voluntary or Charitable | 15 Center Spring Road, Edgefield, SC 29824 | 2008-08-19 |
1114108735 | Banks Pharmacy | Clinic/Center | 100 Ridge Medical Plaza, Suite 101, Edgefield, SC 29824 | 2007-11-26 |
1255525648 | Carolina Youth Combat Systems | Counselor | 722 Augusta Rd, Edgefield, SC 29824 | 2007-08-29 |
1972663763 | Tami Y Massey | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2006-12-11 |
1093166514 | Self Medical Group | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2016-06-27 |
1376960955 | Carla Dorn | Licensed Practical Nurse | 21 Star Rd, Edgefield, SC 29824 | 2014-03-21 |
1487904819 | Julian Thomas Rushin | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-13 |
1134478225 | Marvin Gene Cason | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
1205197019 | Robert Brightharp | Family Medicine | 155 Ridge Medical Plaza, Suite 102, Edgefield, SC 29824 | 2012-06-07 |
Find all providers in zip 29824 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619172400 | Martin Joseph Ruocco | Radiology | 139 Applewood Dr, Greenville, SC 29615-2861 | 2007-06-20 |
1871798660 | Jennings G Pressly | Radiology | 110 Hospital Dr # B, Simpsonville, SC 29681-3226 | 2007-06-20 |
1831284330 | Suzanne M Thigpen | Radiology | 42 Overlook Ct, North Augusta, SC 29841-6067 | 2006-10-03 |
1073624474 | Michael B Seshul Sr. | Radiology | 604 Bimini Twist Cir, Lexington, SC 29072-6724 | 2006-08-31 |
1962411777 | Ronald Alan Piaskowski | Radiology | 1520 Strathmore Ln, Mount Pleasant, SC 29464-8164 | 2006-08-08 |
1396754198 | Raj Ahluwalia | Radiology | 1926 Chatelain Way, Mount Pleasant, SC 29464-3272 | 2006-08-08 |
1073528360 | Mark R Langdon | Radiology | 800 West Meeting Street, Lancaster, SC 29720-2202 | 2006-07-29 |
1689611808 | Robert Ford Searles | Radiology | 302 University Prkwy., Aiken, SC 29802 | 2006-05-31 |
1497700496 | Southern Mri LLC | Radiology | 49 Pennington Dr, Bluffton, SC 29910-6036 | 2006-05-24 |
1407801863 | Southern Mri Hilton Head | Radiology | 460 William Hilton Pkwy, Suite F1, Hilton Head Island, SC 29926-2497 | 2006-05-24 |
Find all providers with the same taxonomy |
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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.