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LEO ANDREW BRUEGGEMAN MD, PHD
NPI 1477296838
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 14, 2022PECOS Enrolled
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(858) 945-8901 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Leo Andrew Brueggeman Md, Phd NPPES

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

LEO ANDREW BRUEGGEMAN MD, PHD (NPI 1477296838) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477296838
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLEO ANDREW BRUEGGEMANCredential: MD, PHD
Location Address1200 N STATE ST, CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address1200 N State St, Clinic Tower, Suite A7dLos Angeles, CA 90033-1029
Phone(858) 945-8901
Sole ProprietorNo
Enumeration DateApril 14, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1477296838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leo Andrew Brueggeman Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Leo Brueggeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Izuchukwu Okpara MD Inc
34 mi
Surgery
28212 KELLY JOHNSON PKWY STE 200
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1679004592 (213) 228-3538

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

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.

DR. LUCILLE CHAILLE
Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 226-2170
DR. THIENDANG VIET NGUYEN M.D.
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7748
DR. PHIL ORALLO CASTILLO M.D.
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 226-4597
NOA CARTER STERLING M.D.
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8847
CHRYSTAL LYNNE JONES RCP
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1000
MAY SUNDONGMEI WU RESP THERAPIST
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1824
BRETT BARRO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (213) 705-5282
ALBERT CHEN MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7686

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 Leo Brueggeman's NPI number?

The NPI number for Leo Brueggeman is 1477296838. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Leo Brueggeman located?

Leo Brueggeman practices at 1200 N State St Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (858) 945-8901.

What is Leo Brueggeman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Leo Brueggeman enrolled in Medicare?

Yes. Leo Brueggeman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leo Brueggeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leo Brueggeman reassigns Medicare benefits to Izuchukwu Okpara MD Inc (Valencia, CA). The 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 Leo Brueggeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leo Brueggeman was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.