Active NPI
Bruce H Drukker, M.D.
- Obstetrics & Gynecology Physician
- Greenville, SC
National Provider Identifier
1285671115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 18973
- Practice address
- 890 W Faris Rd
Suite 470
Greenville, SC 29605-4247 - Phone
- (864) 455-1600
- Fax
- (864) 455-3095
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 18973 | SC | Primary |
Addresses
Primary practice location
890 W Faris Rd
Suite 470
Greenville, SC 29605-4247
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6044
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189735 | Medicaid | SC | |
| 576007863107 | Other | SC | BCBS OF SC |
| 160057952 | Other | SC | RR MEDICARE |
| 7548491 | Other | SC | AETNA |
| 0584313 | Other | SC | CIGNA |
| 576007863029 | Other | SC | BLUE CHOICE OF SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18973 | NC | MD | Family Medicine Physician |
| 18973 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy, LLC | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
dba ATI Physical Therapy of Greenville
- Physical Therapist
- Greenville, SC
- NPI 1669457859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1285671115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6044",
"fax_number": "864-797-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W FARIS RD",
"address_2": "SUITE 470",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054247",
"telephone_number": "864-455-1600",
"fax_number": "864-455-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUKKER",
"first_name": "BRUCE",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "18973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189735",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF SC",
"identifier": "576007863107",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "160057952",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7548491",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0584313",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE OF SC",
"identifier": "576007863029",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Howell & K (Carolinas Center for TMJ Disorders & Facial Pain)
- DRS Kendall and Kemmerlin PA
- DRS. Alpert, Hill, and Caputo PA
- DRS. Harvey and Baur, P.a.
- DRS. Long and Vaughan, P.a.
- Katelyn E Drulard, LMSW
- Drumm Enterprises, Inc (Drumm Health Services & ExamOne)
- Cameron Nichole Drummond
- Cassandra Lynn Drummond, FNP-BC
- Lakesha Drummond
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.