MARK N. BRUCKNER M.D. – NPI #1245226232
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MARK BRUCKNER is a physician located in SIMI VALLEY, CA. NPPES has assigned the NPI number 1245226232 to MARK BRUCKNER on September 23, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK BRUCKNER below.

NPI Profile for
MARK N. BRUCKNER

NPI Number
1245226232
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK N. BRUCKNER
Credentials
M.D.
Primary location
2876 SYCAMORE DR
SUITE 302
SIMI VALLEY, CA 93065-1550
Phone: (805) 522-4400 Fax:
Mailing address
2668 VIA ZURITA CT
SANTA ROSA VALLEY, CA 93012-9336
Phone: (805) 491-2641 Fax:
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA G50614

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.