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PATRICK K BRUEGGEMAN DPM LLC
NPI 1366957839
Podiatrist - Foot & Ankle Surgery in Melbourne, FL

Active since December 06, 2017CLIA 10D2339363 · Certificate of Compliance
15 E HIBISCUS BLVD, MELBOURNE, FL 32901(321) 508-7378(321) 508-7378 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2026, Jan 22, 2023, Dec 6, 2017 (3 updates tracked since 2017).

About Patrick K Brueggeman Dpm Llc NPPES

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

PATRICK K BRUEGGEMAN DPM LLC (NPI 1366957839) is a healthcare organization registered as a foot & ankle surgery in Melbourne, Florida and active in the NPI registry since December 2017. The organization holds a CLIA Certificate of Compliance certificate valid through September 9, 2028 and lists Patrick Kent Brueggeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1366957839
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePATRICK K BRUEGGEMAN DPM LLC
Location Address15 E HIBISCUS BLVDMelbourne, FL 32901-3101
Mailing AddressPo Box 4Melbourne, FL 32902-0004 · (321) 508-7378
Phone(321) 508-7378
Fax(321) 508-7378
Organization SubpartNo
Authorized OfficialPatrick Kent BrueggemanOwner · (321) 508-7378
Enumeration DateDecember 6, 2017
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1366957839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO2457
15 E HIBISCUS BLVD, Melbourne, FL 32901
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick K Brueggeman Dpm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Patrick K Brueggeman DPM LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Patrick Brueggeman, D.P.M.
Podiatry
NPI 1376669150
15 E HIBISCUS BLVD
Melbourne, FL 32901
(321) 508-7378
✔ PECOS✔ Accepts MedicareSame address
Stephen Robinson, M.D.
Pathology
NPI 1447234133
3561 SW 10TH ST
Pompano Beach, FL 33069
(954) 977-7959
✔ PECOS✔ Accepts Medicare132 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2339363

Patrick K Brueggeman Dpm LLC · Melbourne, FL
Active · expires Sep 9, 2028
CLIA Number10D2339363
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2026
Certificate Expiration DateSeptember 9, 2028
Laboratory DirectorLee Tormos
Laboratory Phone(321) 508-7378
Laboratory LocationPatrick K Brueggeman Dpm LLC15 E Hibiscus Blvd, Melbourne, FL 32901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Patrick K Brueggeman Dpm LLC's NPI number?

The NPI number for Patrick K Brueggeman Dpm LLC is 1366957839. It was assigned to this organization in the NPPES registry on December 6, 2017.

Where is Patrick K Brueggeman Dpm LLC located?

Patrick K Brueggeman Dpm LLC is located at 15 E Hibiscus Blvd, Melbourne, FL 32901. The listed phone number is (321) 508-7378.

What is Patrick K Brueggeman Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Patrick K Brueggeman Dpm LLC enrolled in Medicare?

Yes. Patrick K Brueggeman Dpm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patrick K Brueggeman Dpm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Patrick K Brueggeman Dpm LLC, in Pathology and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Patrick K Brueggeman Dpm LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2339363) is associated with this NPI, valid through September 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Patrick K Brueggeman Dpm LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.