Provider Demographics
NPI:1356535132
Name:BRUGGEMAN, DANA M (AUD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:BRUGGEMAN
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6670 PERIMETER DR
Mailing Address - Street 2:STE 120
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8056
Mailing Address - Country:US
Mailing Address - Phone:614-889-8010
Mailing Address - Fax:614-889-7896
Practice Address - Street 1:6670 PERIMETER DR
Practice Address - Street 2:STE 120
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8056
Practice Address - Country:US
Practice Address - Phone:614-889-8010
Practice Address - Fax:614-889-7896
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01165231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4235991Medicare PIN