Goeckeritz, Bruce Edwin

Goeckeritz, Bruce Edwin is an individual health care provider with primary practice located at 145 Sunset Ct Ste 200 , West Columbia SC 29169-2464. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goeckeritz, Bruce Edwin can be contacted via phone (803) 314-9360.

Contact Information

Primary practice address
145 Sunset Ct Ste 200 West Columbia SC 29169-2464
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31856 South Carolina
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X TL31856 South Carolina

Profile Details

NPI number 1366552796
LBN Legal business name Goeckeritz, Bruce Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 27th, 2026 - about 5 months ago

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 1366552796 NPPES
South Carolina MEDICAID G50371

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