Rigo Kurt Brueck, PH.D.

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

25588 Issued in CA

Practice address

2405 N Santa Fe Ave
Vista, CA 92084-1651

Phone

(760) 846-4688

NPI assigned

Nov 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1598067555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 2ND ST",
            "address_2": "STE 210",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243558",
            "telephone_number": "760-846-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N SANTA FE AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920841651",
            "telephone_number": "760-846-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUECK",
        "first_name": "RIGO",
        "middle_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-24",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "25588",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dustin Brown, D.D.S.
• Michael Paul Brown
• Sydnie Jilaine Brown
• Vicki N Browne-Remas
• Evelyn Caliso Brownridge
• John Philip Brumme, MFT
• Sherry L Bruno, DC
• Barrie M Bryars, MFT 40243
• Kristina Bucifal
• Bonnie Bueno

• Addiction (Substance Use Disorder) Psychologist in Vista, CA
• Providers in Vista, CA by specialty
• Addiction (Substance Use Disorder) Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.