Matthew P Brucker Jr., ATC, MED
Specialist/Technologist, Athletic Trainer in Middleton, Massachusetts
1669614699- Practice location
- 30 Log Bridge RD, Middleton, MA 01949-2252
- Phone
- 518-222-9049
- Fax
- —
- Last updated
- April 6, 2009
Matthew Paul Brucker is a Specialist/Technologist, Athletic Trainer based in Middleton, MA. Matthew Paul Brucker practices in Middleton, MA and has the professional credentials of ATC, MED. The NPI Number for Matthew Paul Brucker is 1669614699 and holds a License No. 1841 (MA). The current practice location address for Matthew Paul Brucker is 30 Log Bridge RD, Middleton, MA 01949-2252 and can be reached out via phone at 518-222-9049.
Provider Profile Details
- NPI Number
- 1669614699
- Provider Name
- Matthew Paul Brucker
- Credential
- ATC, MED
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Log Bridge RD, Middleton, MA 01949-2252
- Phone Number
- 518-222-9049
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 6, 2009
- Last Update Date
- April 6, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Log Bridge RD
Middleton, MA 01949-2252 - City
- Middleton
- State
- Massachusetts
- Zip
- 01949-2252
- Phone Number
- 518-222-9049
Provider Business Mailing Address Details
- Address
- 30 Log Bridge RD
Middleton, MA 01949-2252 - City
- Middleton
- State
- MA
- Zip
- 01949-2252
- Phone Number
- 518-222-9049
License Information
- License Number
- 1841
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Matthew P Brucker Jr., ATC, MED?
The NPI number of Matthew P Brucker Jr., ATC, MED is 1669614699. It was assigned on April 6, 2009 and is currently active in the NPPES registry.
What is the specialty of Matthew P Brucker Jr., ATC, MED?
Matthew P Brucker Jr., ATC, MED is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1841.
Where does Matthew P Brucker Jr., ATC, MED practice?
The practice location is 30 Log Bridge RD, Middleton, MA 01949-2252. The office can be reached at 518-222-9049 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669614699 directly on the NPPES registry website.