Bruggeman, Brian B
Bruggeman, Brian B is an individual health care provider with primary practice located at 14155 N. 83Rd Ave Suite 147, Peoria AZ 85381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bruggeman, Brian B can be contacted via phone (623) 230-2200.Contact Information
Primary practice address
14155 N. 83Rd Ave Suite 147
Peoria AZ 85381
Phone: (623) 230-2200
Fax: (208) 535-4564
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 101550 | Wisconsin |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | M10264 | Idaho |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 22884 | New Hampshire |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 31346 | Arizona |
Profile Details
NPI number | 1356344626 |
---|---|
LBN Legal business name | Bruggeman, Brian B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | Jun 20th, 2024 - about 3 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 | 1356344626 | NPPES |
Idaho | MEDICAID | 808217900 | |
Idaho | MEDICAID | 1023267895 | |
Idaho | MEDICAID | 1023267895 | |
Idaho | Other | 31346 | |
Idaho | Other | POOOO4401 | |
Idaho | Other | 18032746 | |
Idaho | Other | AZ0734420 | |
Idaho | MEDICAID | P784422 | |
Idaho | MEDICAID | 1023267895 | |
Idaho | Other | 8607474153011 | |
Idaho | Other | 8640234 | |
Idaho | MEDICAID | 784422 |
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