| Jonathan N Brueggeman, DPM | |
|
500 Campus Drive, Suite 2, Hancock, MI 49930-1569 | |
| (906) 483-1060 | |
| (906) 483-1270 |
| Full Name | Jonathan N Brueggeman |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 21 Years |
| Location | 500 Campus Drive, Hancock, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790836401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016-005289 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 954-25 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Keweenaw Hospital | Laurium, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Keweenaw | 8123912011 | 116 |
| Aspirus Ironwood Hospital And Clinics Inc | 9032013198 | 165 |
| Provider Name | Aspirus Iron River Hospital & Clinics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497750830 PECOS PAC ID: 5294648929 Enrollment ID: O20031110000264 |
| Provider Name | Aspirus Ironwood Hospital & Clinics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992704753 PECOS PAC ID: 9032013198 Enrollment ID: O20031121000096 |
| Provider Name | Aspirus Keweenaw |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
| Provider Name | Aspirus Iron River Hospital & Clinics Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1497750830 PECOS PAC ID: 5294648929 Enrollment ID: O20061104000339 |
| Provider Name | Aspirus Ironwood Hospital & Clinics Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1649297342 PECOS PAC ID: 6406756691 Enrollment ID: O20070223000676 |
| Provider Name | Aspirus Keweenaw |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1326115569 PECOS PAC ID: 8123912011 Enrollment ID: O20080123000612 |
| Provider Name | Portage Physician Practices Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan N Brueggeman, DPM 500 Campus Drive, Hancock, MI 49930-1569 Ph: (906) 483-1060 | Jonathan N Brueggeman, DPM 500 Campus Drive, Suite 2, Hancock, MI 49930-1569 Ph: (906) 483-1060 |