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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | BRUGEMANN, JERRY J · JERRY JOSEPH BRUGGEMAN | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 2004011867 | [sources] | |||
| First name | JERRY | [sources] | |||
| Last name | BRUGGEMAN | [sources] | |||
| Middle name | JOSEPH | [sources] | |||
| NPI | 1033161120 | [sources] | |||
| Sector | 20-PHYSICIAN | [sources] | |||
| Position | FAMILY PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 3706 TRIPLE CROWN DR, COLUMBIA, MO 65202 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from Missouri's Medicaid program.
United States · MMAC
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-jerry-joseph-bruggeman-65202-columbia · us-medmo-f98973f9c53cc27f5c981b0baf418d71843dd653For experts: raw data explorer
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| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |