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

Jerad Bruggeman, ATC

Individual provider Athletic Trainer · NPI 1518311802

Jerad Bruggeman, ATC is an Athletic Trainer in Liberty, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

500 College Hl
Liberty, MO 64068-1843
Phone: (816) 415-5954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (MO)

Record details

NPI number1518311802
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 22, 2016
Last updated in NPPESApril 22, 2016
Mailing address500 College Hl, Liberty, MO 64068-1843

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