Lewis L Bruggeman, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G16587 Issued in CA

Practice address

34525 Scenic Dr
Dana Point, CA 92629-2749

Phone

(949) 489-7659

Fax

(949) 489-3992

NPI assigned

Oct 25, 2008

Last updated

Oct 25, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224892800000",
    "number": "1962655670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34525 SCENIC DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292749",
            "telephone_number": "949-489-7659",
            "fax_number": "949-489-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34525 SCENIC DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292749",
            "telephone_number": "949-489-7659",
            "fax_number": "949-489-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGGEMAN",
        "first_name": "LEWIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G16587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin J Bouwhuis, D.C.
• April Joy Boyle, MA, RD, CLE
• David Jay Brandom, DDS
• Jeffrey Richard Briney
• Piper Bruckmeier
• Angeline Bryan
• Oksana V Bublik, DDS
• Jason Buchanan Buchanan, EMTP
• Fred Hurd Burbank, M.D.
• Miriam Leah Bustamante, LCSW

• Diagnostic Radiology Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; 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.