DR. PATRICK KENT BRUEGGEMAN (NPI# 1376669150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376669150 |
Entity Type | Individual |
Full Name | DR. PATRICK KENT BRUEGGEMAN |
Credential | D.P.M. |
Practice Address |
5176 Formosa Cir Vero Beach FL 32967 |
Mailing Address |
Po Box 4 Melbourne FL 32902-0004 |
Practice Telephone | 3215087378 |
Mailing Telephone | 3215087378 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2018-08-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO2457 | FL | Podiatric Medicine & Surgery Service Providers |
Street Address |
5176 FORMOSA CIR |
City | VERO BEACH |
State | FL |
Zip Code | 32967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366957839 | Patrick K Brueggeman Dpm LLC | Podiatrist | 5176 Formosa Cir, Vero Beach, FL 32967-7645 | 2017-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659921401 | Carehere LLC | Family Medicine | Carehere Clinic- Indian River Schools, 5255 41st Street, Vero Beach, FL 32967 | 2019-09-13 |
1871033605 | Answered Call Inc | Day Training, Developmentally Disabled Services | 4715 51st Ct., Vero Beach, FL 32967 | 2017-02-27 |
1962888529 | Affinity Home Care Agency, Inc. | In Home Supportive Care | 4070 42nd Square, Vero Beach, FL 32967 | 2015-08-06 |
1467693051 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 2500 53rd Street, Vero Beach, FL 32967 | 2009-03-12 |
1578708442 | Michael Andaya | Physical Therapist | 910 Regency Square, Vero Beach, FL 32967 | 2008-12-08 |
1689793473 | Stanley Vinet | Physical Therapist | 5906 Brae Burn Circle, Vero Beach, FL 32967 | 2007-03-29 |
1487726923 | David Tingle | Psychiatry & Neurology | 5880 Clubhouse Drive, Vera Beach, FL 32967 | 2006-11-13 |
1225133051 | Holiday Cvs LLC | Pharmacy | 8495 S Federal Hwy, Vero Beach, FL 32967 | 2006-09-14 |
1336133669 | Natalie Taylor | Nurse Practitioner | 6770 49th Street, Vero Beach, FL 32967 | 2005-09-01 |
1255861845 | Care First Disability Services LLC | Home Health | 4411 28th Ave, Vero Beach, FL 32967 | 2017-06-15 |
Find all providers in zip 32967 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871634899 | Harold R Mcbride Jr. | Podiatrist | 1956 41st Ave Ste C, Vero Beach, FL 32960-2561 | 2007-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
Find all providers with the same taxonomy |
City | VERO BEACH |
Zip Code | 32967 |
Please comment or provide details below to improve the information on DR. PATRICK KENT BRUEGGEMAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.