Audrey Alexa Bruggeman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP16043 Issued in AZ

Practice address

13481 W McDowell Rd Ste 300
Goodyear, AZ 85395-2724

Phone

(623) 536-2325

Fax

(623) 536-2056

NPI assigned

Apr 14, 2022

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Audrey Alexa Sandoval Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RWW Outpatient Rehab Services, LLCGroup PAC ID 8729333521, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1447744461
  Medicare reassignment Care Compare group NPD
• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1619500212
  NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1790428027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13481 W MCDOWELL RD STE 300",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952724",
            "telephone_number": "623-536-2325",
            "fax_number": "623-536-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 W MCDOWELL RD STE 300",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952724",
            "telephone_number": "623-536-2325",
            "fax_number": "623-536-2056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 E Missouri Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142719",
            "country_code": "US",
            "telephone_number": "602-393-0520",
            "fax_number": "602-393-0523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUGGEMAN",
        "first_name": "AUDREY",
        "middle_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13590",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP16043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SLPA13590",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "SANDOVAL",
            "middle_name": "ALEXA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maggy Brown, SBD DOULA
• Robin Ann Brown, MS CCC-SLP
• Sophia Renee Brown, FNP-C
• Julie Jaclyn Browne, PA-C, RD
• Brpdc PLLC
• Coleman Bryant, D.D.S.
• Nilah Bryant, FNP
• Karee Budnik, COTA/L
• Buenhombre Dental PLLC
• Damaso Soliman Bueno Jr., M.D.

• Speech-Language Pathologist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.

Verify at the official NPI Registry.