KATHERINE WOOD BRUCKNER MD
NPI 1336933159
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Katherine Wood Bruckner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE WOOD BRUCKNER MD (NPI 1336933159) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Wood Bruckner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48236
DETROIT, MI 48236
DETROIT, MI 48236
DETROIT, MI 48236
DETROIT, MI 48236
DETROIT, MI 48236
DETROIT, MI 48236
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 Katherine Bruckner's NPI number?
The NPI number for Katherine Bruckner is 1336933159. It was assigned to this individual provider in the NPPES registry on April 7, 2025.
Where is Katherine Bruckner located?
Katherine Bruckner practices at 22151 Moross Rd Ste 214, Detroit, MI 48236. The listed phone number is (313) 343-4867.
What is Katherine Bruckner's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Katherine Bruckner enrolled in Medicare?
Yes. Katherine Bruckner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Katherine Bruckner was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Katherine Wood Bruckner, MD · NPI 1336933159
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 7, 2025.
## Identity
- **NPI:** 1336933159 (Entity type: Individual)
- **Enumerated:** April 7, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 22151 MOROSS RD STE 214, Detroit, MI 48236-2151
- **Phone:** (313) 343-4867 · **Fax:** (313) 343-3280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336933159) · Data from the CMS NPPES public registry.