BRIAN A. BRUCKNER M.D. – NPI #1871573097
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

BRIAN BRUCKNER is a thoracic surgeon located in HOLLYWOOD, FL. NPPES has assigned the NPI number 1871573097 to BRIAN BRUCKNER on January 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 4 years ago on Sep 09, 2022. 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 BRIAN BRUCKNER below.

NPI Profile for
BRIAN A. BRUCKNER

NPI Number
1871573097
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRIAN A. BRUCKNER
Credentials
M.D.
Primary location
1150 N 35TH AVE STE 440
HOLLYWOOD, FL 33021-5430
Phone: (954) 265-6356 Fax: (954) 985-5154
3 Other location(s):
3501 Johnson St
Hollywood, FL 33021-5421
Phone: (954) 265-7750
Fax: (954) 276-0280
401 Southcrest Cir Ste 201
Southaven, MS 38671-6721
Phone: (901) 226-0456
Fax: (901) 226-0458
6025 Walnut Grove Rd Ste 301
Memphis, TN 38120-2123
Phone: (901) 226-0456
Fax: (901) 226-0458
Mailing address
2900 CORPORATE WAY
DOOR D
MIRAMAR, FL 33025-3925
Phone: (954) 276-5685 Fax: (954) 985-7074
Sole Proprietor
No
Updated
Certification Date
Sep 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRIAN BRUCKNER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL107116700
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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 TN 66242
204F00000X
- Transplant Surgery		 MS 30631

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
MHS DSM
Content Type
Affiliation
N
Endpoint Location
1150 N 35TH AVE STE 440,
HOLLYWOOD, FL 77025-1669

Additional Information

Education
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE - Graduated 1997
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BRIAN BRUCKNER is affiliated with the following medical group(s):
  • HOSPITAL
    • BAPTIST MEMORIAL HOSPITAL
      6019 WALNUT GROVE ROAD
      MEMPHIS, TN 38120

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.