LEO ANDREW BRUEGGEMAN MD, PHD
NPI 1477296838
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

NPI Status: Active since April 14, 2022

Contact Information

1200 N STATE ST
CLINIC TOWER, SUITE A7D
LOS ANGELES, CA
ZIP 90033
Phone: (858) 945-8901

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  • Individual
  • Male
  • Years of Experience 4
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LEO BRUEGGEMAN

This page provides the complete NPI Profile along with additional information for Leo Brueggeman, a primary care provider established in Los Angeles, California with a medical specialization in Student In An Organized Health Care Education/training Program and more than 4 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2022. The healthcare provider is registered in the NPI registry with number 1477296838 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1477296838
Provider Name
LEO ANDREW BRUEGGEMAN MD, PHD
Gender
Male
Entity Type
Individual
Location Address
1200 N STATE ST CLINIC TOWER, SUITE A7D LOS ANGELES, CA 90033
Location Phone
(858) 945-8901
Mailing Address
1200 N STATE ST CLINIC TOWER, SUITE A7D LOS ANGELES, CA 90033
Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
04-14-2022
Last Update Date
04-14-2022
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A primary care provider (PCP) like Leo Brueggeman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Leo Brueggeman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Leo Brueggeman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4082051446

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241107003381

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for LEO ANDREW BRUEGGEMAN MD, PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477296838
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147491286
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 4 + 9 + 1 + 2 + 8 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1477296838 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871593970MS. TERESA LARIOS-GILL FNP
Individual
Registered Nurse1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2630
1861487969DR. KEITH JOSEPH YABLONICKY M.D.
Individual
Emergency Medicine1200 N STATE ST EMERGENCY DEPARTMENT
LOS ANGELES, CA 90033
(323) 226-6937
1205887064 SEAN O. HENDERSON M.D.
Individual
Emergency Medicine1200 N STATE ST ROOM 1011
LOS ANGELES, CA 90033
(323) 226-6667
1144230277COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Organization
General Acute Care Hospital1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2622
1790796944COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Organization
General Acute Care Hospital1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2622
1447263108COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Organization
General Acute Care Hospital1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2622
1356354013COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Organization
Psychiatric Unit1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2622
1477652303DR. ROBERT ISRAEL
Individual
Obstetrics & Gynecology1200 N STATE ST ROOM 1110
LOS ANGELES, CA 90033
(323) 226-3421
1154413045DR. MELANIE ANNE OSBY M.D.
Individual
Pathology (Blood Banking & Transfusion Medicine)1200 N STATE ST CLINIC TOWER A7E114
LOS ANGELES, CA 90033
(323) 409-5964
1447340286MRS. DONNA M VENARDOS LCSW
Individual
Social Worker (Clinical)1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-6746
1982788485DR. PAUL CARTER
Individual
Orthopaedic Surgery1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1659455244DR. CHARLES PATTERSON
Individual
Psychiatry & Neurology (Addiction Medicine)1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1053495663DR. JOCELYN DEE
Individual
Internal Medicine1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1629152178DR. JOSEPH BALTRUSHES
Individual
Emergency Medicine1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1548344005DR. ANGELA SELLERS
Individual
Internal Medicine1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1154405629DR. ROCHELLE R RAWLS
Individual
Internal Medicine1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1447334917DR. KURT DROLL
Individual
Orthopaedic Surgery1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1639253099MS. DEBORAH LEE AVNET CRNA
Individual
Anesthesiology1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1972687531DR. STEPHEN SCHNALL
Individual
Orthopaedic Surgery1200 N STATE ST
LOS ANGELES, CA 90033
(323) 226-2170
1952475956 RODOLFO AMAYA M.D.
Individual
Anesthesiology1200 N STATE ST #14-901
LOS ANGELES, CA 90033
(323) 442-7400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477296838, enumerated in the NPI registry as an "individual" on April 14, 2022

The provider is located at 1200 N State St Clinic Tower, Suite A7d Los Angeles, Ca 90033 and the phone number is (858) 945-8901

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 4 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2022.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on April 14, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.