DR. ANNA L BRUCKNER MD NPI 1649354150

NPI Information

NPI: 1649354150
Provider Name: DR. ANNA L BRUCKNER, MD
Classification: Dermatology - 207NP0225X
Entity Type: Individual

Specialization: Pediatric Dermatology

PECOS Registration: Yes

Address:
13123 E 16TH AVE
CHILDREN'S HOSPITAL COLORADO
AURORA, CO
ZIP 80045
Phone: (720) 777-1234
Get Directions

DR. Anna L Bruckner, MD is a pediatric dermatology dermatology in Aurora, CO with 27 years of experience. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. DR. Anna L Bruckner, MD NPI is 1649354150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1997

The provider's business location address is:

13123 E 16TH AVE
CHILDREN'S HOSPITAL COLORADO
AURORA, CO
ZIP 80045-106
Phone: (720) 777-1234

The NPI 1649354150 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 10/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207N00000X	Dermatology		37780	COLORADO	No
2	207NP0225X	Dermatology	Pediatric Dermatology	37780	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14651084	MEDICAID	COLORADO
2	COAAA0992	MEDICARE PIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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