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Contact Information

BRIAN B BRUGGEMAN, MD
675 BALTIMORE DR
WILKES-BARRE, PA18702-7900
 Phone: 570-808-6400
 Fax: 570-808-6338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRIAN B BRUGGEMAN · (Male)

NPI # 1356344626
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2005
Last updated 01/02/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • PA License # MD485999
  • AZ Medicaid 784422
  • AZ Medicaid P784422
  • ID Medicaid 1023267895
  • ID Medicaid 808217900
  • MT Medicaid 1023267895
  • WI Medicaid 1356344626
  • WY Medicaid 1023267895
  • AZ Other AZ0734420 BLUE CROSS BLUE SHIELD AZ
  • AZ Other 8640234 CIGNA
  • AZ Other POOOO4401 RAILROAD MEDICARE
  • AZ Other 18032746 STATE COMP FUND AZ
  • AZ Other 31346 STATE LICENSE AZ
  • AZ Other 8607474153011 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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