# PATRICK K BRUEGGEMAN DPM LLC

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

## Provider details

- **NPI number:** 1366957839
- **Authorized official:** DR. PATRICK KENT BRUEGGEMAN DPM (OWNER)
- **Authorized official phone:** (321) 508-7378

## Contact information

- **Practice address:** 15 E HIBISCUS BLVD, MELBOURNE, FL 32901-3101
- **Practice address phone:** (321) 508-7378
- **Practice address fax:** (321) 508-7378
- **Mailing address:** PO BOX 4, MELBOURNE, FL 32902-0004
- **Mailing address phone:** (321) 508-7378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2457 | FL | Yes |

## Other

- **Enumeration date:** 12/06/2017
- **Last updated:** 03/06/2026
