Physician Compare National (NPI:1790142412)

HEALTHCARE PROVIDER: ANDREW BRUGMAN I D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1790142412
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537458401
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160516002057
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRUGMAN
	Individual professional last name
Provider First Name	ANDREW
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ACTIVE FAMILY CHIROPRACTIC AND ACUPUNCTURE PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0143317750
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2441 N DIERS AVE
	Group Practice or individual's line 1 address
City	GRAND ISLAND
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	688031240
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3083844955
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y