DR. MARC DAVID BRUCKNER DPM NPI 1902881527

NPI Information

  • NPI: 1902881527
  • Provider Name: DR. MARC DAVID BRUCKNER, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13 BIRCH TREE LN
    POB 358
    LIVINGSTON, NJ
    ZIP 07039
  • Phone: (973) 535-6505

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NPI Details

DR. Marc David Bruckner, DPM is a podiatrist in Livingston, NJ with 32 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Marc David Bruckner, DPM NPI is 1902881527. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1994

The provider's business location address is:

13 BIRCH TREE LN
POB 358
LIVINGSTON, NJ
ZIP 07039-358
Phone: (973) 535-6505

The NPI 1902881527 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient home visit, typically 20 minutes (HCPCS:99341)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • New patient custodial care facility, group care, or assisted living visit, typically 20 minutes (HCPCS:99324)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)

The enumeration date for this NPI number is 12/7/2005 and was last updated on 6/21/2011.

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
1213E00000XPodiatrist25MD00230000NEW JERSEYYes

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
1U57431MEDICARE UPINNEW JERSEY
2791924MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE ID#

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: 11/21/2025

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