DR. BRETT CLYDE BRUGGEMAN (NPI# 1841332939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841332939 |
| Entity Type | Individual |
| Full Name | DR. BRETT CLYDE BRUGGEMAN |
| Other Name | MR. BRETT CLYDE BRUGGEMAN |
| Credential | DDS |
| Practice Address |
2617 16th Ave S Great Falls MT 59405-5202 |
| Practice Telephone | 4064528180 |
| Practice Fax Number | 4064528195 |
| Mailing Telephone | 4064528180 |
| Mailing Fax Number | 4064528195 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2020 | MT | Dental Providers |
| Street Address |
2617 16TH AVE S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355357 | Michael G. Stevens Dds, PC | Dentist | 2225 Broadwater Ave Ste 1, Billings, MT 59102-4707 | 2016-09-27 |
| 1154617389 | Jeffrey T Beacham | Dentist | 2225 Broadwater Ave, Billings, MT 59102-4707 | 2011-06-27 |
| 1326203696 | Stephen M Lyon | Dentist | 176 S 32nd St W, Suite1, Billings, MT 59102-6867 | 2008-07-25 |
| 1447468145 | Wayne L Hansen | Dentist | 2625 Saint Johns Ave, Suite A, Billings, MT 59102-4664 | 2007-05-18 |
| 1306965116 | Russ P Read | Dentist | 705 S Reserve St, Missoula, MT 59801-2131 | 2007-03-29 |
| 1124160874 | Verne Reed | Dentist | 770 W Reserve Dr Ste 1, Kalispell, MT 59901-2130 | 2007-02-12 |
| 1578600318 | Gregory James Nielsen | Dentist | 2225 Broadwater Ave Ste A, Billings, MT 59102-4707 | 2007-01-31 |
| 1912088022 | Scott David Jarrett | Dentist | 19897 W Nine Mile Rd, Huson, MT 59846-9716 | 2006-10-17 |
| 1598852188 | Cameron James Townsend | Dentist | 1601 Zimmerman Trail, Suite 2, Billings, MT 59102-2999 | 2006-10-06 |
| 1740391515 | Alan Jay Rauckhorst | Dentist | 619 Sw Higgins Ave Ste P, Missoula, MT 59803-1430 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.