Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | N9820 | TX |
NPI | 1316160625 |
---|---|
Provider Name | Dr. Adam Bruggeman |
First Address | San Antonio, TX 78258-7519 |
Second Address | Bulverde, TX 78163-3271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 13/07/2020 |