George Bino Rucker, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME0082623 Issued in FL

Practice address

6124 53Rd Ave E
Bradenton, FL 34203-9707

Phone

(941) 448-1199

Fax

(941) 462-1796

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Holistic Medical Care Clinic LLC

  • Clinic/Center
  • Apollo Beach, FL
  • NPI 1154750735
  Medicare reassignment NPD
• Manatee Senior Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Sarasota, FL
  • NPI 1316587926
  Medicare reassignment NPD
• George B Rucker

  • Specialist
  • Bradenton, FL
  • NPI 1053657528
  NPD (past) Authorized official
• Manatee Urology PA

  • Urology Physician
  • Bradenton, FL
  • NPI 1669488839
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1629009089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039707",
            "telephone_number": "941-448-1199",
            "fax_number": "941-462-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039707",
            "telephone_number": "941-448-1199",
            "fax_number": "941-462-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "GEORGE",
        "middle_name": "BINO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0082623",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0082623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RS. VA Holdings LLC
• RSC Bradenton Langdon LLC
• Rita L Rubin, ARNP
• Thomas G Rubino, DDS MS
• Elsy Rucker, M.D.
• Christine Louise Rudkin, CPNP
• Sharon Denise Rudolph, NP
• Rudy'S Agape House, LLC
• Rudy'S Agape House, LLC
• Rudy'S Agape House, LLC

• Urology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.