PATRICK K BRUEGGEMAN DPM LLC - NPI 1366957839

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

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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 March 1, 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

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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

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 Mar 1, 2028

CLIA Number10D2339363

Laboratory TypePhysician Office

Certificate Effective DateMarch 2, 2026

Certificate Expiration DateMarch 1, 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELBOURNE COMMUNITY HEALTH CENTER

Clinic/Center (Primary Care)