MR. MICHAEL PHILLIP BRUECKMANN LMT, NCTMB
NPI 1104939552
Specialist in O Fallon, MO

Q: What is Michael Brueckmann's NPI number?

The NPI number for Michael Brueckmann is 1104939552. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Michael Brueckmann's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 17, 2006

1344 STONE CREEK VALLEY CIR, O FALLON, MO 63366(636) 795-1758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Michael Phillip Brueckmann Lmt, Nctmb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL PHILLIP BRUECKMANN LMT, NCTMB (NPI 1104939552) is an individual specialist in O Fallon, Missouri, licensed in Missouri (2001025527) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104939552

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. MICHAEL PHILLIP BRUECKMANNCredential: LMT, NCTMB

Location Address1344 STONE CREEK VALLEY CIRO Fallon, MO 63366-3391

Mailing Address1344 Stone Creek Valley CirO Fallon, MO 63366-3391 · (636) 795-1758

Phone(636) 795-1758

Sole ProprietorYes

Enumeration DateAugust 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104939552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 2001025527

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1344 STONE CREEK VALLEY CIR, O Fallon, MO 63366

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Brueckmann's NPI number?

The NPI number for Michael Brueckmann is 1104939552. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Michael Brueckmann located?

Michael Brueckmann practices at 1344 Stone Creek Valley Cir, O Fallon, MO 63366. The listed phone number is (636) 795-1758.

What is Michael Brueckmann's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Brueckmann was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.