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
Phone: (803) 314-9360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366552796 | NPPES |
| South Carolina | MEDICAID | G50371 |
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