BRUKE ABENET, MD

NPI 1063146157 Active Family Medicine

Quick Facts

NPI Number

1063146157

Type

Individual (NPI-1)

Credential

Status

Active

Enumeration Date

2022-07-13

Last Updated (NPPES)

2025-07-22

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	103203 GA

Other Taxonomies

General Practice — License 0101284523

Practice Address

777 HEMLOCK ST
MACON, GA 312012102

Phone: 478-633-6600

Mailing Address

3780 EISENHOWER PKWY
MACON, GA 312060800

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.