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

Molly Bruggeman, MD

Individual provider Family Medicine Physician · NPI 1417310814

Molly Bruggeman, MD is a Family Practice in Puyallup, Washington. Qualified in 2015, 11 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
11
Licensed in
CA, WA
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1007 39th Ave SE
Puyallup, WA 98374-2192
Phone: (253) 435-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10800 Magnolia Ave, Riverside, CA 92505-3043 — (951) 353-4539

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60970278 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 158100 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417310814
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address1007 39th Ave Se, Puyallup, WA 98374-2192

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Puyallup