Bruggen, Joel Thomas

Bruggen, Joel Thomas is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bruggen, Joel Thomas can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 9800015 North Carolina

Profile Details

NPI number 1437134863
LBN Legal business name Bruggen, Joel Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Feb 8th, 2008 - about 17 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 1437134863 NPPES
Other 25353 PARTNERS
MEDICAID 5848571 PARTNERS
Other 1131P PARTNERS
MEDICAID 2005627000 PARTNERS
MEDICAID 891131P PARTNERS
Other 7954318 PARTNERS
MEDICAID Q00011 PARTNERS
Other 79558 PARTNERS

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