Brian Scott Bucacci, RN
Individual provider Active NPI Registered Nurse · Maple Heights, OH
NPI 1699520668 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1699520668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN-489892 (OH)
- Practice address
- 18415 Highland Dr
Maple Heights, OH 44137-1553 - Phone
- (864) 305-7741
- NPI assigned
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-489892 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-489892 | OH | Yes |
Addresses
Primary practice location
18415 Highland Dr
Maple Heights, OH 44137-1553
Mailing address
18415 Highland Dr
Maple Heights, OH 44137-1553
Phone (864) 305-7741
Other providers in Maple Heights, OH
- Margo Elaine Brown
- Nadiyah Brown
- Rhonda Marie Brown
- Zachary Thomas Bruback
- Brittney Nicole Bruce
- Deja Marshay Renee Burston
- Yolanda Marie Burston
- Lehman Bernard Busbee I
- Loretta Busbee
- Gertrude Bush
All providers in Maple Heights, OH · Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.