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

Mrs. Susan Ingrid Brueggemann, PHYSICIANASSISTANT

Individual provider Registered Dietitian · NPI 1063722411

Mrs. Susan Ingrid Brueggemann, PHYSICIANASSISTANT is a Registered Dietitian in Madison, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2010
Specialties on file
2

Practice location Address checks out

2500 Overlook Ter
Madison, WI 53705-2254
Phone: (608) 280-7003
Show map & directions

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

Additional practice locations (1)

  • 2501 W Beltline Hwy Ste 207, Madison, WI 53713-2321 — (608) 417-7128

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4157 (WI)
Registered Dietitian Taxonomy 133V00000X · Licence 1842-029 (WI)

Record details

NPI number1063722411
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 19, 2010
Last updated in NPPESMarch 17, 2018

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