DR. KARL CRAIG BRUCKMAN (NPI# 1841452612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841452612 |
| Entity Type | Individual |
| Full Name | DR. KARL CRAIG BRUCKMAN |
| Credential | MD, DDS |
| Practice Address |
730 Welch Rd Palo Alto CA 94304 |
| Mailing Address |
730 Welch Rd Palo Alto CA 94304-1503 |
| Practice Telephone | 6507234883 |
| Mailing Telephone | 6507234883 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | A163334 | CA | Allopathic & Osteopathic Physicians |
| N | 204E00000X | Oral & Maxillofacial Surgery | 61299 | CT | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | A163334 | CA | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 61299 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 730 Welch Rd, Palo Alto, CA 94304 | 6507234883 | |
| 800 Howard Avenue, 4th Floor, New Haven, CT 06519 | 2037852570 |
| Street Address |
730 WELCH RD |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821044314 | Anne Yee Liu | Allergy & Immunology | 730 Welch Rd, 1st Floor, Immunology/allergy Clinic, Palo Alto, CA 94304-1503 | 2006-05-26 |
| 1013569342 | Logan Grace Faust | Audiologist | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2019-07-16 |
| 1164909305 | Ashley Lynnae Mello | Pharmacist | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2018-07-20 |
| 1801380860 | Brooke Nightingale | Genetic Counselor, MS | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2018-06-21 |
| 1598265878 | Kaitlyn Makanaakua Basnett | Registered Nurse | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2018-02-13 |
| 1619490547 | Amanda Gerling | Technician/Technologist | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-07-23 |
| 1508398132 | Katherine Alvarez | Physician Assistant | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-04-02 |
| 1154852119 | Laura Quater Diaz | Nurse Practitioner | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-03-22 |
| 1659812691 | Lauren Michelle Carter | Nurse Practitioner | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-03-09 |
| 1467997668 | Elise Brimble | Genetic Counselor, MS | 730 Welch Rd, 2nd Floor Neurology Cc71015, Palo Alto, CA 94304-1503 | 2016-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| 1942629753 | Robert John Feczko | Plastic Surgery | 1000 Welch Rd Ste 100, Palo Alto, CA 94304-1809 | 2014-04-09 |
| 1831471010 | Daniel Tuerk | Plastic Surgery | 817 E Greenwich Pl, Palo Alto, CA 94303-3417 | 2011-09-14 |
| 1407180623 | Anandev N Gurjala | Plastic Surgery | 4144 Thain Way, Palo Alto, CA 94306-3928 | 2009-09-21 |
| 1619012762 | James Newman | Plastic Surgery | 1795 El Camino Real, Suite 200, Palo Alto, CA 94306-1164 | 2007-02-20 |
| 1669524559 | Subhro Kamal Sen | Plastic Surgery | 770 Welch Rd Ste 400, Mc 5715, Palo Alto, CA 94304-1515 | 2007-01-18 |
| 1609885888 | Peter Johannet | Plastic Surgery | 3801 Miranda Ave # 112, Pavahcs, Palo Alto, CA 94304-1207 | 2006-08-05 |
| 1194796375 | Ali Salim | Plastic Surgery | 770 Welch Road, Suite 400 - Stanford Plastic Surgery, Palo Alto, CA 94304 | 2006-01-27 |
| 1548627615 | Ho Man Cheng | Plastic Surgery | 770 Welch Rd Ste 400, Palo Alto, CA 94304-1515 | 2016-01-20 |
| 1548579493 | Duet Plastic Surgery, A Medical Corporation | Plastic Surgery | 1515 El Camino Real, Suite D, Palo Alto, CA 94306-1052 | 2010-09-27 |
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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.