Individual Healthcare Provider
Andrew John Vanbruggen, DO
Provider's NPPES record last updated: December 7, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003337809
- Primary Specialty
- Otolaryngology
- Practice Location
- Green Bay, Wisconsin
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:16 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Otolaryngology
Allopathic & Osteopathic Physicians
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Taxonomy code 207Y00000X
Provider-Reported License Information
- Otolaryngology (Wisconsin)
- 77450
- Otolaryngology (Missouri)
- 2017018862
- Otolaryngology (Minnesota)
- 69733
Practice Locations
Practice Location
2654 S Oneida St Stop 102
Green Bay, Wisconsin 54304-5337
Phone: (888) 938-3838
Additional Practice Location
1031 Mcintosh Cir
Joplin, Missouri 64804-3643
Phone: (417) 347-5665
Additional Practice Location
247 S Nicolet Rd
Appleton, Wisconsin 54914-3938
Phone: (888) 938-3838
Fax: (888) 919-1083
Additional Practice Location
4365 Pheasant Ridge Dr Ne Ste 106
Blaine, Minnesota 55449-4544
Phone: (888) 938-3838
Fax: (888) 919-1083
Record Information
- Enumeration Date
- June 30, 2017
- Provider's NPPES Record Last Updated
- December 7, 2022
- Certification Date
- December 7, 2022
- NPISignal NPPES Dataset
- August 2026
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