Bruce D Brueggemann
Pharmacist in Alton, IL. Individual provider (NPI-1).
NPI number1942522883
StatusActive
Last updated in NPPESFeb 19, 2010
Details
- NPI
- 1942522883
- Entity type
- Individual (NPI-1)
- Name
- Bruce D Brueggemann
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2010
- Last updated
- Feb 19, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051032776 | IL | Yes |
Practice location
2851 Homer Adams PkwyAlton, IL 62002-4856
Phone 618-462-8223 · Fax 618-463-4634
Mailing address
2851 Homer Adams PkwyAlton, IL 62002-4856
Phone 618-462-8223 · Fax 618-463-4634
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 39 Pharmacist providers in Alton · All 1,393 providers in Alton
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