Angela Marie Brueckner, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

648826 Issued in TX

Practice address

58TH STR & 761St Tank Battalion Ave
BLDG 2245
Fort Hood, TX 76544-4752

Phone

(254) 286-6689

Fax

(254) 285-6193

NPI assigned

Jan 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487708665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ALLEN ST",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765223150",
            "telephone_number": "254-547-9405",
            "fax_number": "254-547-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58TH STR & 761ST TANK BATTALION AVE",
            "address_2": "BLDG 2245",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765444752",
            "telephone_number": "254-286-6689",
            "fax_number": "254-285-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUECKNER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "TX",
            "license": "648826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E Brooks, FNP, AMNP, FAAPM
• Debra Ann Broussard, N.N.P.
• Latoya Brown, RN
• Richard Johnathan Brown, PA-C
• Shannon Louise Brown, RN
• Jill Buhrer
• Peter T. Bulatao, PHARMD
• Alex Thomas Bullock, DDS
• Alexander Ruslan Bullock, DO
• Theresa Marie Bureau-Long, M.D.

• Ambulatory Care Registered Nurse in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Ambulatory Care Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.