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

Mr. Gustave Polzer Brucker IV, MSPT

Individual provider Physical Therapist · NPI 1902156631

Mr. Gustave Polzer Brucker IV, MSPT is a Physical Therapist in Westerly, Rhode Island. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2012

Practice location Address checks out

33 Pearl St
Westerly, RI 02891
Phone: (401) 742-1539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 007159 (CT)

Record details

NPI number1902156631
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedSeptember 10, 2012
Last updated in NPPESSeptember 10, 2012

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