Joanna Leigh Phelps Bruderer, is a
Physical Medicine & Rehabilitation physician based in Middleburg, Florida. Joanna Leigh Phelps Bruderer is licensed to practice in Florida (license number PTA28925) and her current practice location is 1658 St Vincents Way Ste 100b, Middleburg, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 214-3313.
NPI number for Joanna Leigh Phelps Bruderer is 1366151177 and her current mailing address is 1658 St Vincents Way Ste 100b, Middleburg, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366151177.
Physician's Profile
| Full Name | Joanna Leigh Phelps Bruderer |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 1658 St Vincents Way Ste 100b, Middleburg, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366151177
- Provider Enumeration Date: 11/21/2022
- Last Update Date: 11/21/2022
Medical Identifiers
Medical identifiers for Joanna Leigh Phelps Bruderer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366151177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PTA28925 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joanna Leigh Phelps Bruderer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Joanna Leigh Phelps Bruderer,
1658 St Vincents Way Ste 100b,
Middleburg, FL 32068-8459
Ph: (904) 214-3313 | Joanna Leigh Phelps Bruderer,
1658 St Vincents Way Ste 100b,
Middleburg, FL 32068-8459
Ph: (904) 214-3313 |
Reviews and Comments