Susan Lynn Bruggeman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1491 Issued in NE

Practice address

700 S Highway 6
Gretna, NE 68028-7970

Phone

(402) 332-3446

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Susan Lynn Bromm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1003183575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14466 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164126",
            "telephone_number": "402-397-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HIGHWAY 6",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287970",
            "telephone_number": "402-332-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGGEMAN",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BROMM",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gene Allen Boeka
• Tamara Jane Boeka
• Brandon Hollister, PH.D., LLC
• Jennifer M. Brigden, LMHP
• Kris Ann Flores Brown, N/A
• Reem Al Turk Bryson, PA
• Julius Buchanan-Goodsell
• Brittanee Buenin
• Amanda Jo Buskevicius, M.D.
• Caryn Carson

• Physical Therapist in Gretna, NE
• Providers in Gretna, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.