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

Active since April 14, 2022Accepts Medicare Assignment
13481 W MCDOWELL RD STE 300, GOODYEAR, AZ 85395(623) 536-2325(623) 536-2056 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2025, Apr 14, 2022 (2 updates tracked since 2022).

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
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

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

Medicare Billing Reassignment

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

Rww Outpatient Rehab Services, LLC
Same address
Multi-Specialty
13481 W MCDOWELL RD
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 47 clinicians in this Medicare group
NPI 1619500212 (502) 718-9563

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 14

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)
13481 W MCDOWELL RD STE 300
GOODYEAR, AZ 85395
Maricopa County (480) 244-3651
GABRIELA SKOCZYLAS OTR/L
Occupational Therapist
13481 W MCDOWELL RD STE 300
GOODYEAR, AZ 85395
Maricopa County (623) 536-2325
ABIGAIL NOEL GAULKE
Physical Therapist
13481 W MCDOWELL RD STE 300
GOODYEAR, AZ 85395
Maricopa County (623) 536-2325
MADELINE CAMPBELL PT
Physical Therapist
13481 W MCDOWELL RD STE 300
GOODYEAR, AZ 85395
Maricopa County (623) 536-2325
DR. TARYN DANIELLE HARKER PT, DPT
Physical Therapist
13481 W MCDOWELL RD STE 300
GOODYEAR, AZ 85395
Maricopa County (623) 536-2325
HANNAH NICOLE CAMPBELL
Speech-Language Pathologist
13481 W MCDOWELL RD STE 300
GOODYEAR, AZ 85395
Maricopa County (623) 536-2325
JACQUELYN PUCHALA OTR/L
Occupational Therapist
13481 W MCDOWELL RD STE 300
GOODYEAR, AZ 85395
Maricopa County (623) 536-2325
NICOLE THIERS PT, DPT
Physical Therapist
13481 W MCDOWELL RD STE 300
GOODYEAR, AZ 85395
Maricopa County (623) 536-2325

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 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.

Where is Audrey Bruggeman located?

Audrey Bruggeman practices at 13481 W Mcdowell Rd Ste 300, Goodyear, AZ 85395. The listed phone number is (623) 536-2325.

What is Audrey Bruggeman's specialty?

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

Is Audrey Bruggeman enrolled in Medicare?

Yes. Audrey 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.

Which organization bills Medicare for Audrey Bruggeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Bruggeman reassigns Medicare benefits to Rww Outpatient Rehab Services, LLC (Goodyear, AZ). 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 Audrey Bruggeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey Bruggeman accept?

Health plans from Blue Cross Blue Shield of Arizona list Audrey Bruggeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 19 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.