Active NPI
Preop Centers of Tennessee, LLC
- General Practice Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PREOP CENTERS OF TENNESSEE, LLC
- Practice address
- 2004 Exeter Rd
Germantown, TN 38138-3945 - Phone
- (901) 664-2111
- NPI assigned
- Jun 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adam Bruggeman, MD
- Title
- Managing Member
- Phone
- (210) 373-3704
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
2004 Exeter Rd
Germantown, TN 38138-3945
Mailing address
9245 Poplar Ave # 5-210
Germantown, TN 38138-7931
Other practice location 1
9245 Poplar Ave # 5-210
Germantown, TN 38138-7931
Phone (210) 469-3830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2332870 | Preop Centers of Tennessee LLC | Certificate of waiver | Oct 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
9245 Poplar Ave
#5210
Germantown, TN 38138
Phone (210) 469-3830
2004 Exeter Rd
Germantown, TN 38138
Phone (901) 664-2111
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- San Antonio, TX
- NPI 1316160625
Multi-Specialty
-
- Family Nurse Practitioner
- Palo Alto, CA
- NPI 1700444056
Single Specialty
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1396001913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1487385241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9245 POPLAR AVE # 5-210",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381387931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 EXETER RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383945",
"telephone_number": "901-664-2111"
}
],
"practiceLocations": [
{
"address_1": "9245 Poplar Ave # 5-210",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381387931",
"country_code": "US",
"telephone_number": "210-469-3830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREOP CENTERS OF TENNESSEE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-22",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "BRUGGEMAN",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "210-373-3704",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.