Eric Brueckner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15768-24 Issued in WI

Practice address

1631 W Lincoln Ave
Milwaukee, WI 53215-2637

Phone

(414) 643-9000

NPI assigned

May 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milwaukee Spine and Joint Center

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1821333550
  NPD (past)
• Spine and Joint Institute of Milwaukee

  • Occupational Health Chiropractor
  • Milwaukee, WI
  • NPI 1821582065
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1205571445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16980 HIDDEN POND CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152637",
            "telephone_number": "414-643-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUECKNER",
        "first_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15768-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bruckbauer, MD
• Julia A. Bruckner, M.D.
• Elinor J Bruders, FNP-BC, NP-C
• Shelly L Brudnicki, LCSW
• Katherine Ann Brueck, M.S.CCC-SLP
• Rosemarie M Brueggeman, MD
• Jennifer Danielle Bruening, M.D.
• Tiffany Clark Bruett
• Bryanna Bruger
• Cody Richard Bruggemeyer, MD

• Physical Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.