Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith R Bucklen, MD

Individual provider Surgery Physician · NPI 1093877292

Dr. Keith R Bucklen, MD is a Family Practice in Miramar, Florida. Graduated from Pennsylvania State University College of Medicine in 1976, 50 years ago. Practices with Vohra Wound Physicians of Ny PLLC, a 34-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
50
Trained at
Pennsylvania State University College of Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3601 SW 160th Ave Ste 250
Miramar, FL 33027-6308
Phone: (877) 866-7123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2005-01383 (NC)
Surgery Physician Taxonomy 208600000X · Licence 200501383 (NC)

Record details

NPI number1093877292
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 14, 2006
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address338 E Brown St, Southport, NC 28461-3514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesPERIPHERAL VASCULAR DISEASE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1976 (50 years in practice)
Group practice Vohra Wound Physicians Of Ny Pllc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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