Dr Brian B Bruggeman, MD is a medicare enrolled "Plastic Surgery" physician in Peoria, Arizona. He went to University Of Utah School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Dean Health Systems Inc and his current practice location is
14155 N. 83rd Ave, Suite 147, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 230-2200.
Dr Brian B Bruggeman is licensed to practice in Arizona (license number 31346) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356344626.
Physician's Profile
| Full Name | Dr Brian B Bruggeman |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 29 Years |
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| Location | 14155 N. 83rd Ave, Peoria, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian B Bruggeman attended and graduated from University Of Utah School Of Medicine in 1997
NPI Data:
- NPI Number: 1356344626
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 05/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305937392
- Enrollment ID: I20240314000372
Medical Identifiers
Medical identifiers for Dr Brian B Bruggeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356344626 | NPI | - | NPPES |
| 1023267895 | Medicaid | MT | |
| 784422 | Medicaid | AZ | |
| 808217900 | Medicaid | ID | |
| 18032746 | Other | AZ | STATE COMP FUND AZ |
| 1023267895 | Medicaid | ID | |
| 1356344626 | Medicaid | WI | |
| 31346 | Other | AZ | STATE LICENSE AZ |
| 8607474153011 | Other | AZ | TAX ID |
| AZ0734420 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 1023267895 | Medicaid | WY | |
| POOOO4401 | Other | AZ | RAILROAD MEDICARE |
| 8640234 | Other | AZ | CIGNA |
| P784422 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | M10264 (Idaho) | Secondary |
| 208200000X | Plastic Surgery | 83551 (Wisconsin) | Secondary |
| 208200000X | Plastic Surgery | 101550 (Wisconsin) | Secondary |
| 208200000X | Plastic Surgery | 22884 (New Hampshire) | Secondary |
| 208200000X | Plastic Surgery | 31346 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dean Health Systems Inc | 7012827983 | 1099 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Brian B Bruggeman allows following entities to bill medicare on his behalf.
| Entity Name | Dean Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584 |
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| Entity Name | Thedacare Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian B Bruggeman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brian B Bruggeman, MD
14155 N. 83rd Ave, Suite 147,
Peoria, AZ 85381
Ph: (602) 230-2200 | Dr Brian B Bruggeman, MD
14155 N. 83rd Ave, Suite 147,
Peoria, AZ 85381
Ph: (623) 230-2200 |
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