Beth Bruckman

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1335 Dublin Rd Ste 200B
Columbus, OH 43215-7094

Phone

(614) 595-9037

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1184277477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 STARMONT CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169565",
            "telephone_number": "317-797-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD STE 200B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157094",
            "telephone_number": "614-595-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKMAN",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra G Bruce, P.T.
• Mackenzie Bruce, PT, DPT
• Margaret Laura Bruce, PA-C
• Marissa Bruce, MD
• Randy A Bruce
• Michele Lynn Bruckman
• Frido Karl Ludwig Bruehl, MD
• Zac Walter Bruhn, QMHS
• Emily Bruin, FNP-C
• Julie Patterson Brumbaugh, AU.D.

• Pediatric Occupational Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Pediatric Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.