PATRICK K BRUEGGEMAN DPM LLC (NPI# 1366957839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366957839 |
| Entity Type | Organization |
| Organization Name | PATRICK K BRUEGGEMAN DPM LLC |
| Practice Address |
5176 Formosa Cir Vero Beach FL 32967-7645 |
| Mailing Address |
Po Box 4 Melbourne FL 32902-0004 |
| Practice Telephone | 3215087378 |
| Practice Fax Number | 3215087378 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Authorized Official Name | DR. PATRICK KENT BRUEGGEMAN (OWNER) |
| Authorized Official Telephone | 3215087378 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO2457 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5176 FORMOSA CIR |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32967-7645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376669150 | Patrick Kent Brueggeman | Podiatrist | 5176 Formosa Cir, Vero Beach, FL 32967 | 2007-03-22 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1346571049 | Zacharia Facaros | Podiatrist | 1880 37th St Ste 4, Vero Beach, FL 32960-6594 | 2010-01-19 |
| 1407009459 | Michael Anthony Mazziotta II | Podiatrist | 1880 37th Street Suite 4, Vero Beach, FL 32960 | 2008-11-03 |
| 1386785426 | Michael R Hansen | Podiatrist | 1956 41st Ave Ste C, Vero Beach, FL 32960-2561 | 2007-02-10 |
| 1164443859 | Indian River Podiatry, Pa | Podiatrist | 1880 37th Street, Suite 4, Vero Beach, FL 32960-4502 | 2006-07-21 |
| 1194710533 | Carl Ganio | Podiatrist | 611 17th St, Vero Beach, FL 32960-5518 | 2005-09-13 |
| 1962400713 | Amberly C Paradoa | Podiatrist | 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 | 2005-07-14 |
| 1396130829 | Amber Rose Morra | Podiatrist | 1155 35th Ln Ste 100, Vero Beach, FL 32960-6522 | 2015-04-01 |
| 1487933057 | Adnan Shariff Inc | Podiatrist | 1850 37th St, Suite A, Vero Beach, FL 32960-4856 | 2011-08-12 |
| 1215226147 | Timothy John Caballes | Podiatrist | 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 | 2011-03-31 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32967 |
Please comment or provide details below to improve the information on PATRICK K BRUEGGEMAN DPM LLC.
| 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.