MOLLY BRUGGEMAN M.D.
NPI 1417310814
Family Medicine in Puyallup, WA

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
1007 39TH AVE SE, PUYALLUP, WA 98374(253) 435-3100 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2021, Sep 19, 2019, Apr 1, 2016 (3 updates tracked since 2016).

About Molly Bruggeman M.d. NPPES

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

MOLLY BRUGGEMAN M.D. (NPI 1417310814) is an individual family medicine provider in Puyallup, Washington, licensed in Washington (MD60970278) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417310814
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMOLLY BRUGGEMANCredential: M.D.
Location Address1007 39TH AVE SEPuyallup, WA 98374-2192
Mailing Address1007 39th Ave SePuyallup, WA 98374-2192 · (253) 435-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 1, 2016
Last NPPES UpdateMay 18, 20213 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
NPI 1417310814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WA · MD60970278 Licensed in CA · 158100
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1007 39TH AVE SE, Puyallup, WA 98374

Secondary Practice Location 1

Location 110800 Magnolia AveRiverside, CA 92505-3043 · Phone (951) 353-4539

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Molly Bruggeman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597007260
PECOS Enrollment IDI20191111001365
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1007 39TH AVE SE
PUYALLUP, WA 98374
Family Medicine
1007 39TH AVE SE
PUYALLUP, WA 98374
Pediatrics
1007 39TH AVE SE
PUYALLUP, WA 98374
Physician Assistant
1007 39TH AVE SE
PUYALLUP, WA 98374
Optometrist
1007 39TH AVE SE
PUYALLUP, WA 98374
Physician Assistant (Medical)
1007 39TH AVE SE
PUYALLUP, WA 98374
Internal Medicine
1007 39TH AVE SE
PUYALLUP, WA 98374
Family Medicine
1007 39TH AVE SE
PUYALLUP, WA 98374

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 Molly Bruggeman's NPI number?

The NPI number for Molly Bruggeman is 1417310814. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Molly Bruggeman located?

Molly Bruggeman practices at 1007 39th Ave SE, Puyallup, WA 98374. The listed phone number is (253) 435-3100.

What is Molly Bruggeman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Molly Bruggeman enrolled in Medicare?

Yes. Molly Bruggeman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Molly Bruggeman was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.