Provider Demographics
NPI:1679569768
Name:BRUGGER, PAUL BERNARD (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:BERNARD
Last Name:BRUGGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3008 S CHURCH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5153
Mailing Address - Country:US
Mailing Address - Phone:336-584-9932
Mailing Address - Fax:336-584-9929
Practice Address - Street 1:3008 S CHURCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5153
Practice Address - Country:US
Practice Address - Phone:336-584-9932
Practice Address - Fax:336-584-9929
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1620111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor