Christopher Bryant Brueckner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3318ATI Issued in OR

Practice address

Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431-5000

Phone

(253) 968-4664

Fax

(253) 968-3168

NPI assigned

Jul 29, 2009

Last updated

Aug 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1841421575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER",
            "address_2": "9040 JACKSON AVENUE",
            "city": "JBLM",
            "state": "WA",
            "postal_code": "984315000",
            "telephone_number": "253-968-4664",
            "fax_number": "253-968-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984315000",
            "telephone_number": "253-968-4664",
            "fax_number": "253-968-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUECKNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI3318",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3318ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Brubach
• John E Bruce, DO
• Paul Benjamin Bruce
• Hena Haresh Brucia, MD
• Michael P. Bruder, LPN
• Mary Beth Bruemmer-Ortega, ARNP
• Chelsea Bruen
• Stephen H Bruen
• Kaitlyn Nicole Bruggenthies, M.S., CF-SLP
• Laila Tanala Brun, RN, CDN

• Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; 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.