Active NPI
Heide Bruegmann
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1174792980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2506
- Practice address
- 1409 Courtland Drive
Raleigh, NC 27604 - Phone
- (919) 215-9907
- NPI assigned
- Feb 26, 2008
- Last updated
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2506 | NC | Primary |
Addresses
Primary practice location
1409 Courtland Drive
Raleigh, NC 27604
Mailing address
PO Box 25792
Raleigh, NC 27611
Phone (919) 215-9907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1174792980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25792",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27611",
"telephone_number": "919-215-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 COURTLAND DRIVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27604",
"telephone_number": "919-215-9907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUEGMANN",
"first_name": "HEIDE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.