Borucki, Robert Bruce

Borucki, Robert Bruce is an sole proprietor health care provider with primary practice located at 1911 Hampton St , Columbia SC 29201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Borucki, Robert Bruce can be contacted via phone (803) 256-1511.

Contact Information

Primary practice address
1911 Hampton St Columbia SC 29201
Phone: (803) 256-1511
Fax: (803) 256-7333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 013376 South Carolina
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 13376 South Carolina

Profile Details

NPI number 1700882776
LBN Legal business name Borucki, Robert Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Aug 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700882776 NPPES
South Carolina MEDICAID 133769

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