OrganizationActive
Bennett H. Bruckner,m.d., P.C.
NPI 1033370762 · Gastroenterology Physician · Lawrenceville, GA
Provider details
- NPI number
- 1033370762
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bennett Bruckner, Physician/Owner(770) 962-9410
- License
- 034547 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
575 Professional Dr
Suite 290
Lawrenceville, GA 30045-3333
Phone: (770) 962-9410
Fax: (770) 962-8489
Approximate (ZIP-level) locationGet directions
Mailing address
575 Professional Dr
Lawrenceville, GA 30045-3333
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.