DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JERRY JOSEPH BRUGGEMAN M.D.

MEDICARE: DR. JERRY JOSEPH BRUGGEMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2004011867MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033161120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERRY JOSEPH BRUGGEMAN M.D.
Provider Business Mailing Address
First Line : 910 N COLLEGE AVE STE 4
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-4797
Country : US
Telephone Number : 636-642-1215
Fax Number : 573-234-4799
Provider Business Practice Location Address
First Line : 910 N COLLEGE AVE STE 4
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-4797
Country : US
Telephone Number : 636-642-1215
Fax Number : 573-234-4799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 12/20/2023

Similar Medicare Providers

1790442143 — RANDI ELIZABETH LUPER MSN, APRN, FNP-C
Practice Location Address:
910 N COLLEGE AVE STE 4
COLUMBIA, MO
65201-4797
Practice Phone: 636-642-1215
Practice Fax: 573-234-4799
1578526497 — DAMASCENE SRIYAN KURUKULASURIYA MD
Practice Location Address:
910 N COLLEGE AVE STE 4
COLUMBIA, MO
65201-4797
Practice Phone: 636-642-1215
Practice Fax: 573-234-4799
1477590057 — ANN E MCDOWELL APRN
Practice Location Address:
910 N COLLEGE AVE STE 4
COLUMBIA, MO
65201-4797
Practice Phone: 636-642-1215
Practice Fax: 573-234-4799
1558371781 — BETH ANN SJOBLOM MD
Practice Location Address:
910 N COLLEGE AVE STE 4
COLUMBIA, MO
65201-4797
Practice Phone: 636-642-1215
Practice Fax: 573-234-4799
1972735637 — CHERYL LYNN KYLE APRN FNP-BC
Practice Location Address:
910 N COLLEGE AVE STE 4
COLUMBIA, MO
65201-4797
Practice Phone: 636-642-1215
Practice Fax: 573-234-4799
1821305376 — ADVANCED SENIOR CARE, INC
Practice Location Address:
910 N COLLEGE AVE , SUITE 4
COLUMBIA, MO
65201-4797
Practice Phone: 636-642-1215
Practice Fax: 573-234-4769

Directions to “ DR. JERRY JOSEPH BRUGGEMAN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.