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DR. KEVIN ALLEN BRUCKER D.M.D.
NPI 1295807154
Dentist - General Practice in Gibson City, IL

Active since November 15, 2006
2 DOCTORS PARK, GIBSON CITY, IL 60936(217) 784-4455(217) 784-4383 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Allen Brucker D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN ALLEN BRUCKER D.M.D. (NPI 1295807154) is an individual general practice provider in Gibson City, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1295807154
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN ALLEN BRUCKERCredential: D.M.D.
Location Address2 DOCTORS PARKGibson City, IL 60936-2000
Mailing Address2 Doctors Park, P. O. Box 206Gibson City, IL 60936-2000 · (217) 784-4455 · Fax (217) 784-4383
Phone(217) 784-4455
Fax(217) 784-4383
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295807154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 DOCTORS PARK, Gibson City, IL 60936
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Brucker's NPI number?

The NPI number for Kevin Brucker is 1295807154. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Kevin Brucker located?

Kevin Brucker practices at 2 Doctors Park, Gibson City, IL 60936. The listed phone number is (217) 784-4455.

What is Kevin Brucker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kevin Brucker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.