DR. VERN BARRY BRUGGEMAN (NPI# 1619010477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619010477 |
| Entity Type | Individual |
| Full Name | DR. VERN BARRY BRUGGEMAN |
| Credential | DDS |
| Practice Address |
333 So Woodruff Ave Idaho Falls ID 83401 |
| Practice Telephone | 2085242036 |
| Practice Fax Number | 2085239004 |
| Mailing Telephone | 2085242036 |
| Mailing Fax Number | 2085239004 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D1471 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 001596200 | 05 |
| Street Address |
333 SO WOODRUFF AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033560578 | Id Dental Associates, P.C. | Dentist | 2818 S 25th E, Idaho Falls, ID 83404 | 2016-06-27 |
| 1205175668 | Foothills Dental Care, Pllc | Dentist | 1655 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2013-02-05 |
| 1386953958 | Chad Jeffrey Coombs | Dentist | 2860 Valencia Dr Ste 100, Idaho Falls, ID 83404-7597 | 2010-09-30 |
| 1790092468 | Jeff Ybarguen | Dentist | 3423 Merlin Dr Ste 100, Idaho Falls, ID 83404-7430 | 2010-09-01 |
| 1376876110 | Kent Cutforth Dds | Dentist | 1370 E. 17th Street, Idaho Falls, ID 83404 | 2009-09-11 |
| 1992968804 | Brandon D Gordon | Dentist | 7186 Sage View Cr, Idaho Falls, ID 83406 | 2008-07-10 |
| 1083818371 | Philip R Harper | Dentist | 3550 Washington Pkwy, Idaho Falls, ID 83404-4968 | 2007-06-12 |
| 1356465660 | Eagle Rock Dental Care | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2007-03-19 |
| 1750413456 | Thomas T Anderson | Dentist | 2685 Channing Way, Idaho Falls, ID 83404 | 2007-03-09 |
| 1851449003 | Elite Dental Care, Pllc | Dentist | 3423 Merlin Dr, Suite 100, Idaho Falls, ID 83404-7430 | 2007-01-06 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on DR. VERN BARRY BRUGGEMAN.
| 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.