Eric Joel Breuggeman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2891 Issued in FL

Practice address

1443 Lakeland Hills Blvd
Lakeland, FL 33805-3206

Phone

(863) 686-6200

Fax

(863) 686-6339

NPI assigned

Mar 23, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialist Doctors Group LLCGroup PAC ID 8123202215, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71788

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.

• Specialist Doctors Group LLC

  • Family Medicine Physician
  • Plant City, FL
  • NPI 1487963864
  Medicare reassignment Care Compare group NPD
• Specialist Doctors Group LLC

  • Podiatrist
  • Lakeland, FL
  • NPI 1770965824
  NPD Authorized official
• Eric J. Breuggeman DPM, PA

  • Foot & Ankle Surgery Podiatrist
  • Lakeland, FL
  • NPI 1861662546
  NPD (past) Authorized official
• Martin T Girling DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Plant City, FL
  • NPI 1295912319
  NPD (past)
• Specialist Doctors Group, LLC

  • General Practice Physician
  • Plant City, FL
  • NPI 1922432657
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Florida Baptist Hospital Inc

  • General Acute Care Hospital
  • Plant City, FL
  • NPI 1548205883
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1831159136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053206",
            "telephone_number": "863-686-6200",
            "fax_number": "863-686-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053206",
            "telephone_number": "863-686-6200",
            "fax_number": "863-686-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUGGEMAN",
        "first_name": "ERIC",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861662546",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340177400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Evan Breslow
• Caroline Elizabeth Haggerty Bresnan
• Paul Bresnan, MD
• Bretts Behavior Services LLC
• Nathaniel James Bretz, DC
• Karyn Rebecca Brewer
• Brian T. Crosby DMD PA
• Bridges Optical
• Dallas Nicole Bridges
• Mark Joseph Bridges, L.D.O.

• Podiatrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.