Provider Demographics
NPI:1891489399
Name:BRUGMAN ATTENTION ASSOCIATES
Entity Type:Organization
Organization Name:BRUGMAN ATTENTION ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DEREK
Authorized Official - Last Name:BRUGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:704-550-3113
Mailing Address - Street 1:BRUGMAN ATTENTION ASSOCIATES
Mailing Address - Street 2:2907 ROUSSEAU COURT
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2103
Mailing Address - Country:US
Mailing Address - Phone:704-550-3113
Mailing Address - Fax:704-270-8306
Practice Address - Street 1:BRUGMAN ATTENTION ASSOCIATES
Practice Address - Street 2:2907 ROUSSEAU COURT
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2103
Practice Address - Country:US
Practice Address - Phone:704-550-3113
Practice Address - Fax:704-270-8306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service