Tanya Bruster Teggatz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32590 Issued in IA

Practice address

5264 Council St NE
Suite 100
Cedar Rapids, IA 52402-2471

Phone

(319) 221-8444

Fax

(319) 221-8589

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tanya Bruster Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Teggatz Clinic PC

  • Health Service Clinic/Center
  • Cedar Rapids, IA
  • NPI 1154705085
  Authorized official Same address or phone
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1871645663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 FOUNTAINS DR. N.E. STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52411",
            "telephone_number": "319-393-4307",
            "fax_number": "319-294-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5264 COUNCIL ST NE",
            "address_2": "SUITE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022471",
            "telephone_number": "319-221-8444",
            "fax_number": "319-221-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGGATZ",
        "first_name": "TANYA",
        "middle_name": "BRUSTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4154062",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "BRUSTER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kassondra S. Taylor, T-LMFT
• Lasharon Leah Taylor, LPC, LMHC, IADC
• Mark C Taylor, MD MPH
• Taz Pharmacies CR, LLC (Medicap Pharmacy)
• Carrie Christine Teahen, DDS
• Gary Alan Teig, O.D.
• Michael Steven Telisak, M.D.
• Kathleen M Teraberry, MSW LISW
• Ryan R Terribile, LMSW
• Mary Tharp, LISW

• Family Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.