Kevin Allen Brucker in Gibson City - General Practice
Kevin Allen Brucker - NPI 1295807154
Kevin Allen Brucker is a General Practice in Gibson City, Illinois. Kevin Allen Brucker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Allen Brucker is 1295807154. The last update date is 2007-07-08.
Kevin Allen Brucker's current location address is 2 Doctors Park, Gibson City, Illinois. You can contact this provider via phone number 2177844455 and fax number 2177844383. The mailing address for Kevin Allen Brucker is 2 Doctors Park, Gibson City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Allen Brucker |
|---|---|
| Address | 2 Doctors Park, Gibson City, Illinois |
| Phone Number | 2177844455 |
| Fax Number | 2177844383 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1295807154 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2 Doctors Park |
|---|---|
| City | Gibson City |
| State | Illinois (IL) |
| Post Code | 609362000 |
| Phone Number | 2177844455 |
| Fax Number | 2177844383 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19023571 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Kevin Allen Brucker by the Centers for Medicare & Medicaid Services?
The Kevin Allen Brucker has been issued the NPI (National Provider Identifier) 1295807154, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kevin Allen Brucker's facilities are situated?
The facilities of Kevin Allen Brucker are physically located at the following address: 2 Doctors Park, Gibson City, IL, 609362000.
What is the Kevin Allen Brucker's area of specialization and corresponding taxonomy classification?
The Kevin Allen Brucker's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Kevin Allen Brucker receive its 1295807154 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Allen Brucker was assigned its 1295807154 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the details related to Kevin Allen Brucker most recently updated or revised?
The information pertaining to Kevin Allen Brucker, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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