NPI Information

  • NPI: 1174299085
  • Provider Name: ALEX BRUGGEMAN
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 14041 STATE ROUTE 29
    ANNA, OH
    ZIP 45302
  • Phone: (937) 622-0075

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NPI Details

Alex Bruggeman is a student in an organized health care education training program in Anna, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Alex Bruggeman NPI is 1174299085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14041 STATE ROUTE 29
ANNA, OH
ZIP 45302
Phone: (937) 622-0075

The enumeration date for this NPI number is 8/19/2021 and was last updated on 8/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramUP372035OHIOYes
22255A2300XSpecialist/TechnologistAthletic TrainerUP372035OHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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