ROBERT E. BRUEGGEMAN (NPI# 1255324273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324273 |
| Entity Type | Individual |
| Full Name | ROBERT E. BRUEGGEMAN |
| Credential | M.D. |
| Practice Address |
4848 S 76th St Suite 210 Greenfield WI 53220-4361 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 4142827444 |
| Practice Fax Number | 4142828221 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2017-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 43837 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 43837 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34192100 | 05 | |
| WI | RR MEDICARE | P00634554 | 01 |
| Street Address |
4848 S 76TH ST SUITE 210 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316489453 | Isaac A Pratzel | Physical Therapist | 4848 S 76th St, Greenfield, WI 53220-4361 | 2016-11-07 |
| 1467702019 | Lindsay M Rush | Physical Therapist | 4848 S 76th St, Greenfield, WI 53220-4361 | 2012-09-11 |
| 1689908584 | Jessica J Nilles | Physical Therapist | 4848 S 76th St, Greenfield, WI 53220-4361 | 2009-09-24 |
| 1871734400 | Carleen Faith Paprocki | Occupational Therapist | 4848 S 76th St, Greenfield, WI 53220-4361 | 2009-03-11 |
| 1629215876 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 4848 S 76th St, Suite 210, Greenfield, WI 53220-4361 | 2009-01-09 |
| 1467660175 | Richard Eward Protasiewicz Jr. | Chiropractor | 4848 S 76th St, Suite 205, Greenfield, WI 53220-4361 | 2007-05-18 |
| 1649484221 | Michael H Chen | Chiropractor | 4848 S 76th St, Suite. 205, Greenfield, WI 53220-4361 | 2007-05-10 |
| 1487703625 | Dale F. Vandyke | Counselor | 4848 S 76th St, Suite 201, Greenfield, WI 53220-4361 | 2007-01-09 |
| 1295806776 | Commonwealth Dialysis Center, LLC | Clinic/Center | 4848 S 76th St, Suite 100, Greenfield, WI 53220-4361 | 2006-11-13 |
| 1457462566 | Janet A Shafer | Counselor | 4848 S 76th St, Suite 201, Greenfield, WI 53220-4361 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679062145 | R.e.a.c.h. for Tomorrow Inc | Internal Medicine | 138 S Washington St, Greenfield, OH 45123-1469 | 2018-05-09 |
| 1356716633 | Thomas Lee Schiller | Internal Medicine | 50 Parrett Rd, Greenfield, OH 45123-8504 | 2015-12-11 |
| 1730455189 | Suhaib Kamal Elobaid | Internal Medicine | 4945 S Heritage Dr, W202, Greenfield, WI 53220-5399 | 2012-03-30 |
| 1043354483 | Kerri A. Kissell | Internal Medicine | 1 Memorial Sq Ste 2200, Greenfield, IN 46140-1378 | 2007-02-19 |
| 1639257140 | Manoj V Mody | Internal Medicine | 12093 W Morgan Oak Dr, Greenfield, WI 53228-1035 | 2006-11-01 |
| 1598700601 | Ryan D Holzmacher | Internal Medicine | 5017 S 110th St, Greenfield, WI 53228-3131 | 2006-06-20 |
| 1407819626 | Neil D Bach | Internal Medicine | 146 Federal St, Greenfield, MA 01301-2511 | 2006-04-10 |
| 1164496501 | Thomas Jay Failinger | Internal Medicine | 300 E Boyd Ave Ste 201, Greenfield, IN 46140-2818 | 2006-02-14 |
| 1043202187 | Esther Grace Pablo Kanayjorn | Internal Medicine | 1092 Jefferson St, Greenfield, OH 45123-8319 | 2005-08-16 |
| 1821090275 | John Hittle | Internal Medicine | 1 Memorial Sq Ste 305, Greenfield, IN 46140-3308 | 2005-08-15 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
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| 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.