Active NPIIndividual providerSole proprietor

Dr. Marc D Bruckner, DPM

Podiatrist in Livingston, New Jersey

NPI Number1902881527
Practice location
13 Birch Tree Ln, Pob 358, Livingston, NJ 07039-0358
Fax
—
Last updated
June 21, 2011

Marc David Bruckner is a Podiatrist based in Livingston, NJ. Marc David Bruckner practices in Livingston, NJ and has the professional credentials of DPM. The NPI Number for Marc David Bruckner is 1902881527 and holds a License No. 25MD00230000 (NJ). The current practice location address for Marc David Bruckner is 13 Birch Tree Ln, Pob 358, Livingston, NJ 07039-0358 and can be reached out via phone at 973-535-6505.

Provider Profile Details

NPI Number
1902881527
Provider Name
Marc David Bruckner
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
13 Birch Tree Ln, Pob 358, Livingston, NJ 07039-0358
Phone Number
973-535-6505
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 7, 2005
Last Update Date
June 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Birch Tree Ln
Pob 358
Livingston, NJ 07039-0358
Zip
07039-0358
Phone Number
973-535-6505
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
Po Box 358
Livingston, NJ 07039-0358
City
Livingston
State
NJ
Zip
07039-0358

License Information

License Number
25MD00230000
License State
NJ
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Podiatrists near Livingston, NJ

View all Podiatrists in Livingston →

Frequently Asked Questions

What is the NPI number of Dr. Marc D Bruckner, DPM?

The NPI number of Dr. Marc D Bruckner, DPM is 1902881527. It was assigned on December 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Marc D Bruckner, DPM?

Dr. Marc D Bruckner, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00230000.

Where does Dr. Marc D Bruckner, DPM practice?

The practice location is 13 Birch Tree Ln, Pob 358, Livingston, NJ 07039-0358. The office can be reached at 973-535-6505 (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 1902881527 directly on the NPPES registry website.

Browse related providers