Adam Wesley Bruckner (NPI# 1316109564, PAC ID# 4486808417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1316109564 |
PAC ID by PECOS | 4486808417 |
Professional Enrollment ID | I20130129000155 |
Full Name | Adam Wesley Bruckner |
Organization Legal Name | AIKEN PROFESSIONAL ASSOCIATION LLC |
Address |
110 Sasanqua Dr Graniteville SC 29829-4136 |
Phone Number | 8033921811 |
Gender | M |
Graduation Year | 2008 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0446430805 |
Number of Group Practice Members | 24 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420082 | AIKEN REGIONAL MEDICAL CENTER |
110028 | UNIVERSITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
110 Sasanqua Dr, Graniteville, SC 29829-4136 | 8033921811 | AIKEN PROFESSIONAL ASSOCIATION LLC |
Organization Legal Name | AIKEN PROFESSIONAL ASSOCIATION LLC |
Physicians | 24 |
Name | Specialty | Organization | Address |
---|---|---|---|
Candace C. Waters | Nurse Practitioner | Aiken Professional Association LLC | 124 Bettis Academy Rd, Graniteville, SC 29829-3107 |
Seema Faiyaz | Obstetrics/gynecology | Aiken Professional Association LLC | 121 Aurora Pl B, Aiken, SC 29801-5312 |
Jonathan H Anderson | Urology | Aiken Professional Association LLC | 770 Medical Park Dr, Aiken, SC 29801-6307 |
Thomas P Paxton | Thoracic Surgery | Aiken Professional Association LLC | 137 Miracle Dr, Aiken, SC 29801-6351 |
Mark J Meiler | Family Medicine | Aiken Professional Association LLC | 420 Society Hill Dr, Suite 100, Aiken, SC 29803-1731 |
Kristin B Haddock | Nurse Practitioner | Aiken Professional Association LLC | 137 Miracle Dr, Aiken, SC 29801-6351 |
Janet L Utz | Cardiovascular Disease (cardiology) | Aiken Professional Association LLC | 137 Miracle Dr, Aiken, SC 29801-6351 |
Weems Pennington Iii | Interventional Cardiology | Aiken Professional Association LLC | 137 Miracle Dr, Aiken, SC 29801-6351 |
Lorenzo K Sampson | General Surgery | Aiken Professional Association LLC | 410 University Pkwy, Suite 2310, Aiken, SC 29801-6835 |
Darren J Mack | Urology | Aiken Professional Association LLC | 1701 Magnolia Way, Suite 201, Augusta, GA 30909-9485 |
Street Address |
110 SASANQUA DR |
City | GRANITEVILLE |
State | SC |
Zip | 29829-4136 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Marie Robertson | Nurse Practitioner | 1 Hickman St, Graniteville, SC 29829-2955 | |
Candace C. Waters | Nurse Practitioner | Aiken Professional Association LLC | 124 Bettis Academy Rd, Graniteville, SC 29829-3107 |
Jay E Earles | Psychologist, Clinical | 3524 Jefferson Davis Hwy, Graniteville, SC 29829-3850 |
City | GRANITEVILLE |
Zip Code | 29829 |
Specialty | FAMILY MEDICINE |
City + Specialty | GRANITEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Adam Wesley Bruckner.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.