Doctor Name: | DR. WILLIAM C. BRUKER |
NPI Number: | 1699826743 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20-09982 |
Business Practice Address: | 300 Ridge Medical Plaza Edgefield, SC - 29824 |
Business Phone Number: | 8036371173 |
Business Fax Number: | |
Mailing Address: | 325 Colleton Ave, AIKEN |
State: | SC |
Postal Code: | 298017101 |
Phone Number: | 8036490308 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 20-09982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |