Brett Clyde Bruggeman, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2020 Issued in MT

Practice address

2617 16TH Ave S
Great Falls, MT 59405-5202

Phone

(406) 452-8180

Fax

(406) 452-8195

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Brett Clyde Bruggeman Former name

Medicare fee-for-service enrollment

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841332939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 16TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055202",
            "telephone_number": "406-452-8180",
            "fax_number": "406-452-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 16TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055202",
            "telephone_number": "406-452-8180",
            "fax_number": "406-452-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGGEMAN",
        "first_name": "BRETT",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MT",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRETT",
            "last_name": "BRUGGEMAN",
            "middle_name": "CLYDE",
            "prefix": "MR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vonnie R. Brown, LCSW
• Bruce D Fisher DPM PC (Advanced Foot and Ankle Center of MT)
• John Macmillan Bruce IV, D.D.S.
• Rachael Bruce
• Christopher G. Bruch, D.D.S., M.S.D.
• Bruk P. Weymouth, DDS, PC (Family Dental Center)
• Karen Jean Brunner
• Jade Brunsvold, OD
• Christina Marie Bryan, CCC,SLP
• Erika M Bryan, PA -C

• Endodontics in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Endodontics in Montana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.