Dr. Patrick Kent Brueggeman
Primary Podiatric Medicine
5176 Formosa Cir
Vero Beach
, Florida 32967
Dr. Patrick Kent Brueggeman
Primary Podiatric Medicine
5176 Formosa Cir
Vero Beach
, Florida 32967
(321) 508-7378
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Patrick Kent Brueggeman
- Po Box 4
- Melbourne, FL
- Zip : 32902-0004
- Phone : (321) 508-7378
Second Address
- Dr. Patrick Kent Brueggeman
- 5176 Formosa Cir
- Vero Beach, FL
- Zip : 32967
- Phone : (321) 508-7378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | PO2457 | FL |
National Provider Identifier
| NPI | 1376669150 |
|---|---|
| Provider Name | Dr. Patrick Kent Brueggeman |
| First Address | Melbourne, FL 32902-0004 |
| Second Address | Vero Beach, FL 32967 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2007 |
| Last Update Date | 06/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U52360 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.