Judy A. Bruckner, PH.D., P.C.
NPI 1528182789ActiveOrganization· Psychologist· Watkinsville, GA
Psychologist in Watkinsville, Georgia, registered in NPPES in March 2007. The authorized official on file is Judy Bruckner, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528182789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2007 |
| Last updated in NPPES | Jan 24, 2023 |
| Certified by provider | Jan 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY002174 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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