DR. WILLIAM C. BRUKER JR.


Address: 300 Ridge Medical Plaza, Edgefield, SC 29824
Phone: 8036371173

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085B0100X Radiology
Specialization: Body Imaging
20-09982 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 099828 05

Office Location

Street Address 300 RIDGE MEDICAL PLAZA
City EDGEFIELD
State SC
Zip Code 29824

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085B0100X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Body Imaging

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City EDGEFIELD
Zip Code 29824

Improve Information

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Dataset Information

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.

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