Bruggeman, Brian B

Bruggeman, Brian B is an individual health care provider with primary practice located at 14155 N. 83Rd Ave Suite 147, Peoria AZ 85381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bruggeman, Brian B can be contacted via phone (623) 230-2200.

Contact Information

Primary practice address
14155 N. 83Rd Ave Suite 147 Peoria AZ 85381
Phone: (623) 230-2200
Fax: (208) 535-4564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 101550 Wisconsin
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X M10264 Idaho
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 22884 New Hampshire
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 31346 Arizona

Profile Details

NPI number 1356344626
LBN Legal business name Bruggeman, Brian B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jun 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356344626 NPPES
Idaho MEDICAID 808217900
Idaho MEDICAID 1023267895
Idaho MEDICAID 1023267895
Idaho Other 31346
Idaho Other POOOO4401
Idaho Other 18032746
Idaho Other AZ0734420
Idaho MEDICAID P784422
Idaho MEDICAID 1023267895
Idaho Other 8607474153011
Idaho Other 8640234
Idaho MEDICAID 784422

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