Healthcare Provider Details

I. General information

NPI: 1518809458
Provider Name (Legal Business Name): DR. ESTELLE SIMONE VALERIE BRUGERE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE
TUCSON AZ
85724-5058
US

IV. Provider business mailing address

1501 N CAMPBELL AVE
TUCSON AZ
85724-5058
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-9540
  • Fax: 520-626-2247
Mailing address:
  • Phone: 520-626-9540
  • Fax: 520-626-2247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR82776
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: