Daniel Eugene Bruckner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A112097 Issued in CA

Practice address

5400 Balboa Blvd Ste 326
Encino, CA 91316-5214

Phone

(818) 789-0495

Fax

(818) 789-6726

NPI assigned

Jul 16, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1134432446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 326",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165214",
            "telephone_number": "818-789-0495",
            "fax_number": "818-789-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 326",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165214",
            "telephone_number": "818-789-0495",
            "fax_number": "818-789-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKNER",
        "first_name": "DANIEL",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A112097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murray Allen Brown, M.D.
• Rodger Keith Brown, M.D.
• William Brown Jr.
• Joan R. Browner, PH.D.
• Bruce B Becker MD a Medical Corporation
• Irwin Barry Bruckner, M.D.
• James A Bruckner Sr.
• Julia Bruckner, D.O.
• Laura Bruckner, M.D.
• Alyssa Brunton

• Pediatrics Physician in Encino, CA
• Providers in Encino, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.