Jerad Bruggeman, ATC
Athletic Trainer · Liberty, MO
NPI number
1518311802
Practice location
500 College HLLiberty, MO 64068-1843
- Phone
- (816) 415-5954
NPI record
- NPI
- 1518311802
- Entity type
- Individual (Type 1)
- Enumeration date
- April 22, 2016
- Last updated
- April 22, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | MO |
About Jerad Bruggeman
Jerad Bruggeman, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 500 College HL, Liberty, MO 64068-1843. The NPI number 1518311802 was assigned on April 22, 2016 and the record was last updated on April 22, 2016.
Frequently asked questions
What is the NPI number of Jerad Bruggeman, ATC?
The NPI number is 1518311802.
What is the phone number of Jerad Bruggeman?
The phone number listed for the practice location is (816) 415-5954.
Where is Jerad Bruggeman located?
500 College HL, Liberty, MO 64068-1843.
What is the taxonomy code for Jerad Bruggeman?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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