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NPI Code Detail

MEDICARE: JAMES ROBERT BRUGGER OTR/L

MEDICARE: JAMES ROBERT BRUGGER OTR/L
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
1225X00000XOccupational Therapist18147NC

General Provider Information

NPI Number : 1649120411
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ROBERT BRUGGER OTR/L
Provider Business Mailing Address
First Line : 522 ISLE OF PINES RD
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-7433
Country : US
Telephone Number : 704-267-8752
Fax Number :
Provider Business Practice Location Address
First Line : 5935 CARNEGIE BLVD STE 104
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-4672
Country : US
Telephone Number : 704-323-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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