Brian B Bruggeman in Peoria - Plastic Surgery
Brian B Bruggeman - NPI 1356344626
Brian B Bruggeman is a Plastic Surgery in Peoria, Arizona. Brian B Bruggeman practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Brian B Bruggeman is 1356344626. The last update date is 2022-07-28.
Brian B Bruggeman's current location address is 14155 N. 83rd Ave, Peoria, Arizona. You can contact this provider via phone number 6232302200 and fax number 2085354564. The mailing address for Brian B Bruggeman is 14155 N. 83rd Ave, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian B Bruggeman |
|---|---|
| Address | 14155 N. 83rd Ave, Peoria, Arizona |
| Phone Number | 6232302200 |
| Fax Number | 2085354564 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356344626 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2022-07-28 |
Provider Mailing Address Detail
| Address | 14155 N. 83rd Ave |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853810 |
| Phone Number | 6232302200 |
| Fax Number | 2085354564 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | M10264 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1023267895 | WY | -- | |
| 1023267895 | MT | -- | |
| P784422 | AZ | -- | |
| 1023267895 | ID | -- | |
| 784422 | AZ | -- | |
| 8607474153011 | AZ | TAX ID | |
| POOOO4401 | AZ | RAILROAD MEDICARE | |
| 8640234 | AZ | CIGNA | |
| 31346 | AZ | STATE LICENSE AZ | |
| 18032746 | AZ | STATE COMP FUND AZ |
Post Comment/ Review Below
What is the Brian B Bruggeman's 1356344626?
The Brian B Bruggeman's NPI (National Provider Identifier) Number is 1356344626. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brian B Bruggeman is physically located?
The Brian B Bruggeman is physically situated at the following address: 14155 N. 83Rd Ave, Peoria, AZ, 853810.
What is Brian B Bruggeman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian B Bruggeman is Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 208200000X.
When did the Brian B Bruggeman receive its 1356344626?
The Brian B Bruggeman was issued its 1356344626 on 2005-05-31, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Brian B Bruggeman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian B Bruggeman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-28.