Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audrey Alexa Bruggeman

Individual provider Speech-Language Assistant · NPI 1790428027

Audrey Alexa Bruggeman is a Qualified Speech Language Pathologist in Goodyear, Arizona. Qualified in 2024, 2 years ago. Practices with Rww Outpatient Rehab Services, LLC, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

13481 W McDowell Rd Ste 300
Goodyear, AZ 85395-2724
Phone: (623) 536-2325
Fax: (623) 536-2056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 — (602) 393-0520

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP16043 (AZ)
Speech-Language Assistant Taxonomy 2355S0801X · Licence SLPA13590 (AZ)

Record details

NPI number1790428027
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rww Outpatient Rehab Services, Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Goodyear