MOLLY BRUGGEMAN (NPI# 1417310814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417310814 |
| Entity Type | Individual |
| Full Name | MOLLY BRUGGEMAN |
| Credential | M.D. |
| Practice Address |
1007 39th Ave Se Puyallup WA 98374-2192 |
| Mailing Address |
9210 S Hosmer St Apt D13 Tacoma WA 98444-6873 |
| Practice Telephone | 2534353100 |
| Mailing Telephone | 4066004141 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 158100 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10800 Magnolia Ave, Riverside, CA 925053043 | 9513534539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235404955 | Molly E Bruggeman | Physical Therapist | 2490 Mosside Blvd, Monroeville, PA 15146-4236 | 2012-03-13 |
| Street Address |
1007 39TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786705 | Nathan Aaron De Witt | Physician Assistant | 1007 39th Ave Se, Puyallup, WA 98374-2192 | 2005-08-02 |
| 1568935476 | Jordan Machen | Physician Assistant | 1007 39th Ave Se, Puyallup, WA 98374-2192 | 2019-01-03 |
| 1346729563 | Jessica Humphrey | Physical Therapist | 1007 39th Ave Se, Puyallup, WA 98374-2192 | 2018-08-08 |
| 1265983977 | William Robertson | Physician Assistant | 1007 39th Ave Se, Puyallup, WA 98374-2192 | 2016-10-18 |
| 1104231935 | Kyle Muir | Internal Medicine | 1007 39th Ave Se, Puyallup, WA 98374 | 2014-07-01 |
| 1477844454 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 1007 39th Ave Se, Puyallup, WA 98374-2192 | 2011-04-26 |
| 1447384425 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1007 39th Ave Se, Puyallup, WA 98374-2192 | 2007-03-14 |
| 1104934629 | Ai-khue Thi Nguyen | Family Medicine | 1007 39th Ave Se, Puyallup, WA 98374-2192 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225584683 | Paladina Health, LLC | Family Medicine | 615 E Pioneer, Suite 103, Puyallup, WA 98372-3317 | 2016-08-26 |
| 1588048862 | Chelsi Goodman | Family Medicine | 1322 3rd St Se Ste 300, Puyallup, WA 98372 | 2015-07-16 |
| 1366824914 | Cris Perez | Family Medicine | 1322 3rd St Se Ste 302, Puyallup, WA 98372-3771 | 2015-06-19 |
| 1891042958 | Noor Azreen Ali | Family Medicine | 15214 Canyon Rd E Ste 100, Puyallup, WA 98375-7472 | 2012-08-08 |
| 1265655070 | Douglas Allan Badzik | Family Medicine | 8919 119th Street Ct E, Puyallup, WA 98373-7976 | 2007-04-10 |
| 1912055286 | Sea-mar Community Health Center | Family Medicine | 10217 125th Street Ct E Fl 2, Puyallup, WA 98374-2761 | 2007-01-05 |
| 1083788160 | John N Daniel | Family Medicine | 801 E Main Street, Puyallup, WA 98372-3365 | 2006-11-20 |
| 1053403634 | Mark S. Kim | Family Medicine | 1803 S Meridian, Puyallup, WA 98371 | 2006-09-29 |
| 1518079722 | Bruce K. Baker | Family Medicine | 1408 3rd St Se Ste 200, Puyallup, WA 98372 | 2006-09-01 |
| 1508881228 | Linh Trang Huynh | Family Medicine | 10116 116th St E, Suite 101, Puyallup, WA 98373-3543 | 2006-07-13 |
| Find all providers in PUYALLUP | ||||
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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.