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DR. JACOB J BRUCKNER MD
NPI 1396242525
Student in an Organized Health Care Education/Training Program in Valhalla, NY

Active since April 13, 2018
100 WOODS RD, VALHALLA, NY 10595(914) 493-7000 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob J Bruckner Md NPPES

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

DR. JACOB J BRUCKNER MD (NPI 1396242525) is an individual student in an organized health care education/training program in Valhalla, New York and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1396242525
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACOB J BRUCKNERCredential: MD
Location Address100 WOODS RDValhalla, NY 10595-1530
Mailing Address1810 3rd Ave Apt B8aNew York, NY 10029-6292 · (206) 890-0958
Phone(914) 493-7000
Sole ProprietorNo
Enumeration DateApril 13, 2018
✔ NPI 1396242525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 WOODS RD, Valhalla, NY 10595
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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.

MRS. LISA ANN SAUER N.P.
Nurse Practitioner (Neonatal, Critical Care)
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
KAREN FRANCOIS MD
Anesthesiology
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
KIMBERLY WILSON R.D.
Dietitian, Registered
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7664
RADHIKA VOLETI M.D
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
FAREENA NAWAZ MD
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
AUSTIN B CARPENTER
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-8795
AMRO AGLAN MD
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
HAO WANG MD, PHD
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-6613

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 Jacob Bruckner's NPI number?

The NPI number for Jacob Bruckner is 1396242525. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Jacob Bruckner located?

Jacob Bruckner practices at 100 Woods Rd, Valhalla, NY 10595. The listed phone number is (914) 493-7000.

What is Jacob Bruckner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Bruckner was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.