DR. MARY THERESE BRUEGGEMEYER (NPI# 1255481750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255481750 |
| Entity Type | Individual |
| Full Name | DR. MARY THERESE BRUEGGEMEYER |
| Credential | M.D. |
| Practice Address |
88 Mdg/sghj 4881 Sugar Maple Dr. Wright-patterson Afb OH 45433 |
| Mailing Address |
88 Mdg/sghj 4881 Sugar Maple Dr Wright Patterson Afb OH 45433 |
| Practice Telephone | 9372571558 |
| Mailing Telephone | 9372571558 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
34841 | KY | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
35072155 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
88 MDG/SGHJ 4881 SUGAR MAPLE DR. |
| City | WRIGHT-PATTERSON AFB |
| State | OH |
| Zip Code | 45433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962850222 | Kevin Schmidt Tanager | Pathology | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45419 | 2016-05-27 |
| 1346669199 | Andrew Berglund | Internal Medicine | 88 Mdg/sghj, 4881 Sugar Maple Drive, Wright-patterson Afb, OH 45433 | 2014-04-09 |
| 1073939070 | Gregory Michael Buchek | Internal Medicine | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2014-03-14 |
| 1225334725 | Joseph Kluesner | Internal Medicine | 88 Mdg/sghj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2011-01-31 |
| 1427367366 | Jennifer Lynne Landucci | Psychiatry & Neurology | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2010-09-27 |
| 1881859734 | Michael Anthony Tommolino | Optometrist | 88 Mdg/sghj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2008-07-21 |
| 1295914117 | Laura Louise Swanson | Optometrist | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2007-10-26 |
| 1295924397 | Kristin Lee Galloway | Psychologist | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2007-10-15 |
| 1649250283 | Dustin George Huntzinger | Family Medicine | 88 Mdg/sghj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572398 | Daniel Lee Vansyoc | Preventive Medicine | Usafsam/acs, 2510 Fifth Street Building 840, Wright-patterson Afb, OH 45433 | 2005-10-17 |
| 1598092702 | John Michael Hatfield | Preventive Medicine | 88 Mdg, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433-5529 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922480425 | Donair Inc | Preventive Medicine | 11100 Airport Hwy, Swanton, OH 43558-9374 | 2015-06-22 |
| 1336425149 | George Potor | Preventive Medicine | 5670 Lamplighter Dr, Girard, OH 44420-1628 | 2011-10-25 |
| 1154557502 | Christopher James Micallef | Preventive Medicine | 88 Sgc / Sgcq, Wright Patterson Air Force Base Medical Center, Dayton, OH 45433 | 2009-05-29 |
| 1679731848 | Peter Joseph Dempsey | Preventive Medicine | 247 Orville St, Apt. 15, Fairborn, OH 45324-2968 | 2008-05-23 |
| 1902828213 | Kathryn Garrity Hughes | Preventive Medicine | 4220 Grand Ave, Middletown, OH 45044-6129 | 2006-07-24 |
| 1396706164 | Salvatore Pelligra | Preventive Medicine | 2325 5th Street, Bldg 675, Wright Patterson Afb, OH 45433-7802 | 2006-03-31 |
| 1689651499 | Alden Douglas Hilton Sr. | Preventive Medicine | 2325 5th St Bldg 675, Wright Patterson Afb, OH 45433-7505 | 2005-12-22 |
| 1417942095 | Stacey Lynn Branch | Preventive Medicine | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 | 2005-09-20 |
| 1871588327 | Mark R. Coakwell | Preventive Medicine | 2510 5th St Bldg 840, Wright Patterson Afb, OH 45433-7951 | 2005-09-12 |
| 1356690820 | Richard Allen Allnutt IIi | Preventive Medicine | 4881 Sugar Maple Dr, 88mdg/sghj, Wright Patterson Afb, OH 45433-5529 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
| City | WRIGHT-PATTERSON AFB |
| Zip Code | 45433 |
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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.