# JB MEDICAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174557193
- **Authorized official:** DR. JERRY BRUGGEMAN MD (PRESIDENT)
- **Authorized official phone:** (573) 289-0828

## Contact information

- **Practice address:** 3706 TRIPLE CROWN DR, COLUMBIA, MO 65202-4847
- **Practice address phone:** (573) 874-5971
- **Mailing address:** 3706 TRIPLE CROWN DR, COLUMBIA, MO 65202-4847
- **Mailing address phone:** (573) 874-5971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2004011867 | MO | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/22/2020