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JACQUELINE K BRUDER PMD
NPI 1700416807
Emergency Medical Technician, Paramedic in Weston, FL

Active since January 17, 2020
1625 N COMMERCE PKWY STE 300, WESTON, FL 33326(954) 765-6262 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2020, Jan 17, 2020 (2 updates tracked since 2020).

About Jacqueline K Bruder Pmd NPPES

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

JACQUELINE K BRUDER PMD (NPI 1700416807) is an individual emergency medical technician, paramedic in Weston, Florida, licensed in Florida (JA7201) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1700416807
Entity TypeIndividualFemale
Primary Taxonomy146L00000X
Provider Legal NameJACQUELINE K BRUDERCredential: PMD
Location Address1625 N COMMERCE PKWY STE 300Weston, FL 33326-3206
Mailing Address2640 Sw 137th TerDavie, FL 33330-1132 · (954) 214-4426
Phone(954) 765-6262
Sole ProprietorNo
Enumeration DateJanuary 17, 2020
Last NPPES UpdateMay 12, 20202 updates tracked since enumeration
NPPES CertifiedMay 12, 2020
✔ NPI 1700416807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License✔ Licensed in FL · JA7201
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
Also ListedTechnician, OtherTaxonomy 247200000X · License JA7201 (FL)
1625 N COMMERCE PKWY STE 300, Weston, FL 33326
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Other Providers at the Same Location NPPES 2

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

MENDED MINDS CORP.
Clinic/Center
1625 N COMMERCE PKWY STE 300
WESTON, FL 33326
Broward County (954) 765-6262
HUGH BRUDER PMD
Emergency Medical Technician, Paramedic
1625 N COMMERCE PKWY STE 300
WESTON, FL 33326
Broward County (954) 765-6262

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 Jacqueline Bruder's NPI number?

The NPI number for Jacqueline Bruder is 1700416807. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Where is Jacqueline Bruder located?

Jacqueline Bruder practices at 1625 N Commerce Pkwy Ste 300, Weston, FL 33326. The listed phone number is (954) 765-6262.

What is Jacqueline Bruder's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Bruder was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.