AUDREY ALEXA BRUGGEMAN - NPI 1790428027 - Speech-Language Pathologist in Goodyear, AZ

Q: What is Audrey Bruggeman's NPI number?

The NPI number for Audrey Bruggeman is 1790428027. It was assigned to this individual provider in the NPPES registry on April 14, 2022. The provider is also known as Audrey Alexa Sandoval.

Q: What is Audrey Bruggeman's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Bruggeman was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

On this page

About Audrey Alexa Bruggeman NPPES

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

AUDREY ALEXA BRUGGEMAN (NPI 1790428027) is an individual speech-language pathologist provider in Goodyear, Arizona, licensed in Arizona (SLP16043) and active in the NPI registry since April 2022. She maintains a secondary practice location in Phoenix and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790428027

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameAUDREY ALEXA BRUGGEMAN

Location Address13481 W MCDOWELL RD STE 300Goodyear, AZ 85395-2724

Mailing Address13481 W Mcdowell Rd Ste 300Goodyear, AZ 85395-2724 · (623) 536-2325 · Fax (623) 536-2056

Phone(623) 536-2325

Fax(623) 536-2056

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 14, 2022

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1790428027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in AZ · SLP16043

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X · License SLPA13590 (AZ)

13481 W MCDOWELL RD STE 300, Goodyear, AZ 85395

Open in Google Maps ↗

Other Names 1

Former Name (1)Audrey Alexa Sandoval

Secondary Practice Location 1

Location 11190 E Missouri Ave Ste 100Phoenix, AZ 85014-2719 · Phone (602) 393-0520 · Fax (602) 393-0523

Other Identifiers 1

MedicaidSLPA13590AZ

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

Audrey Alexa Bruggeman 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 ID4284157900

PECOS Enrollment IDI20250402002851

Other Providers at the Same Location NPPES 13

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

NICOLE HERNANDEZ OTR/L

Occupational Therapist (Physical Rehabilitation)