Dr. Jacob J Bruckner, MD
Radiology, Vascular & Interventional Radiology in Seattle, WA. Individual provider (NPI-1).
NPI number1396242525
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1396242525
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob J Bruckner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2018
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | MD.MD.61689366 | WA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | MD.MD.61689366 | WA |
Practice location
1959 Ne Pacific Street Main HospitalSeattle, WA 98195-0001
Phone 206-598-3300
Mailing address
1810 3rd Ave Apt B8aNew York, NY 10029-6292
Phone 206-890-0958
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