Individual provider Active NPI

Bruke Zeleke Abenet, MD

  • Family Medicine Physician
  • Macon, GA
National Provider Identifier
1063146157
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
103203 Issued in GA
Practice address
777 Hemlock St
Macon, GA 31201-2102
Phone
(478) 633-6600
NPI assigned
Jul 13, 2022
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 103203 GA Primary
General Practice Physician 208D00000X 0101284523 VA

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

3780 Eisenhower Pkwy
Macon, GA 31206-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250425001661 GA Practitioner - General Practice 7214318286 Reassigns benefits to 1 organization
I20250529003962 VA Practitioner - General Practice 7214318286 Reassigns benefits to 1 organization
I20250624003553 MI Practitioner - General Practice 7214318286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc Family Medicine CurrentSince Aug 17, 2025 Accepting new patients
Signify Health, LLC General Practice CurrentSince Mar 14, 2025 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Apr 1, 2025 Accepting new patients
The Medical Center of Central Georgia Inc PastSince Aug 17, 2025 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1063146157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 EISENHOWER PKWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312060800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENET",
        "first_name": "BRUKE",
        "middle_name": "ZELEKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "103203",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101284523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.