Thomas Michael Brugman, M.D.

Individual provider Active NPI Pulmonary Disease Physician · Ventura, CA

NPI 1194736637 · NPPES record last updated Aug 5, 2019

Key facts

NPI
1194736637
Entity type
Individual (NPI type 1)
Primary specialty
Pulmonary Disease Physician 207RP1001X
License
G49982 (CA)
Practice address
168 N. Brent Street
Suite 406
Ventura, CA 93003-2824
Phone
(805) 653-6371
Fax
(805) 653-7242
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Pulmonary Disease
Also: Critical Care (Intensivists)
Education
University of California, Irvine, California College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health System (187 clinicians)

Practice addresses (Care Compare)

168 N Brent St
Suite 302
Ventura, CA 93003-2817
Phone (805) 652-6373

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital · Ventura, CA · CCN 050394

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100507000637 CA Practitioner - Pulmonary Disease
Practitioner - Critical Care (Intensivists)
8628004066 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G49982CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Pulmonary and Critical Care Medical Group Critical Care Medicine Current
since Jul 18, 2005
Accepting new patients
Community Memorial Health System Current
since Oct 1, 2018
Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System Current
since Oct 1, 2018
Accepting new patients
Renal Consultants of Ventura County, Inc Past
since Dec 5, 2011
Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

168 N Brent St
Ste 503
Ventura, CA 93003
Phone (805) 653-0101

168 N Brent St
Ste 302
Ventura, CA 93003
Phone (805) 652-6373

168 N Brent St
Ste 406
Ventura, CA 93003
Phone (805) 653-6371

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCJAD
  • Direct secure messaging: thomas.brugman.1@11820.direct.athenahealth.com
  • Direct secure messaging: thomasbrugman@cfh.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G49982 CA
Pulmonary Disease Physician 207RP1001X G49982 CA Yes

Addresses

Primary practice location

168 N. Brent Street
Suite 406
Ventura, CA 93003-2824

Mailing address

168 N. Brent Street
Suite 406
Ventura, CA 93003-2824
Phone (805) 653-6371

Other providers in Ventura, CA

All providers in Ventura, CA · Pulmonary Disease Physician in California

Sources for this page

Verify at the official NPI Registry.