Active NPIIndividual providerSole proprietor

Mr. Gregg L Brueck, ATC

Specialist/Technologist, Athletic Trainer in Burlington, Vermont

NPI Number1487799961
Practice location
University Of Vermont, 140 Patrick Gym 97 Spear Street, Burlington, VT 05405-0001
Fax
—
Last updated
July 8, 2007

Gregg L Brueck is a Specialist/Technologist, Athletic Trainer based in Burlington, VT. Gregg L Brueck practices in Burlington, VT and has the professional credentials of ATC. The NPI Number for Gregg L Brueck is 1487799961 and holds a License No. 104-0000090 (VT). The current practice location address for Gregg L Brueck is University Of Vermont, 140 Patrick Gym 97 Spear Street, Burlington, VT 05405-0001 and can be reached out via phone at 802-656-9577.

Provider Profile Details

NPI Number
1487799961
Provider Name
Gregg L Brueck
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
University Of Vermont, 140 Patrick Gym 97 Spear Street, Burlington, VT 05405-0001
Phone Number
802-656-9577
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
University Of Vermont
140 Patrick Gym 97 Spear Street
Burlington, VT 05405-0001
State
Vermont
Zip
05405-0001
Phone Number
802-656-9577
Burlington, VT 05405Get directions →

Provider Business Mailing Address Details

Address
86 Tyler Bridge RD
Hinesburg, VT 05461-9105
City
Hinesburg
State
VT
Zip
05461-9105
Phone Number
802-482-6032

License Information

License Number
104-0000090
License State
VT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gregg L Brueck, ATC?

The NPI number of Mr. Gregg L Brueck, ATC is 1487799961. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Gregg L Brueck, ATC?

Mr. Gregg L Brueck, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104-0000090.

Where does Mr. Gregg L Brueck, ATC practice?

The practice location is University Of Vermont, 140 Patrick Gym 97 Spear Street, Burlington, VT 05405-0001. The office can be reached at 802-656-9577 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487799961 directly on the NPPES registry website.

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