Brogden, Gregory Jon

Brogden, Gregory Jon is an individual health care provider with primary practice located at 1860 S Seguin Ave , New Braunfels TX 78130-3913. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Allopathic & Osteopathic Physicians / Hospitalist. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Brogden, Gregory Jon can be contacted via phone (210) 448-7700.

Contact Information

Primary practice address
1860 S Seguin Ave New Braunfels TX 78130-3913
Phone: (210) 448-7700
Fax: (210) 448-7703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 663310 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 663310 Texas

Profile Details

NPI number 1659674760
LBN Legal business name Brogden, Gregory Jon
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2010
Last updated Sep 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659674760 NPPES
Texas Other 12297180 CAQH

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