Dr. Kurt F. Bruckmeier
Geriatric Medicine
101 Asbury Cir
Hattiesburg
, Mississippi 39402-1302
Dr. Kurt F. Bruckmeier
Geriatric Medicine
101 Asbury Cir
Hattiesburg
, Mississippi 39402-1302
(601) 268-5211
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Kurt F. Bruckmeier
- 101 Asbury Cir
- Hattiesburg, MS
- Zip : 39402-1302
- Fax : (601) 268-5211
- Phone : (601) 268-5200
Second Address
- Dr. Kurt F. Bruckmeier
- 101 Asbury Cir
- Hattiesburg, MS
- Zip : 39402-1302
- Fax : (601) 268-5211
- Phone : (601) 268-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 09945 | MS |
National Provider Identifier
| NPI | 1083610117 |
|---|---|
| Provider Name | Dr. Kurt F. Bruckmeier |
| First Address | Hattiesburg, MS 39402-1302 |
| Second Address | Hattiesburg, MS 39402-1302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2005 |
| Last Update Date | 26/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00016251 | (05) | MS |
| B66074 | (02) | MS |
| P00064618 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.