Active NPI
Adam Bruggeman
- Physician Assistant
- Atlantis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117926
- Practice address
- 180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641 - Phone
- (561) 967-6500
- NPI assigned
- Sep 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9117926 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9117926 | FL | |
| Physician Assistant | 363A00000X | PA9117926 | FL | Primary |
Addresses
Primary practice location
180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641
Mailing address
1192 Summerwood Cir
Wellington, FL 33414-5149
Phone (561) 601-0628
Other practice location 1
1221 S State Road 7 Ste 200
Wellington, FL 33414-6204
Phone (561) 967-6500
Other practice location 2
10275 Hagen Ranch Rd Ste 200
Boynton Beach, FL 33437-3784
Phone (561) 967-6500
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117926 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center of Palm Beach County, LLC | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County, Inc. | Past | Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Past | Accepting new patients |
Locations
4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622
1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668
10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324
1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500
Interoperability endpoints
- adam.bruggeman.1@26475.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1023574944
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1891683801
-
- Orthopaedic Surgery Physician
- Atlantis, FL
- NPI 1164963252
-
- Durable Medical Equipment & Medical Supplies
- Lake Worth, FL
- NPI 1659453835
-
- Specialist
- Atlantis, FL
- NPI 1114079738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1932988193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1192 SUMMERWOOD CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145149",
"telephone_number": "561-601-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 JOHN F KENNEDY DR STE 100",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626641",
"telephone_number": "561-967-6500"
}
],
"practiceLocations": [
{
"address_1": "1221 S State Road 7 Ste 200",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334146204",
"country_code": "US",
"telephone_number": "561-967-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10275 Hagen Ranch Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334373784",
"country_code": "US",
"telephone_number": "561-967-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUGGEMAN",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9117926",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9117926",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.