Gogel, Brian Matthew
Gogel, Brian Matthew is an individual health care provider with primary practice located at 7777 Forest Ln C-585, Dallas TX 75230-2571. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gogel, Brian Matthew can be contacted via phone (972) 566-4880.Contact Information
Primary practice address
7777 Forest Ln C-585
Dallas TX 75230-2571
Phone: (972) 566-4880
Fax: (972) 566-6256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K2156 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | K2156 | Texas |
Profile Details
| NPI number | 1083672836 |
|---|---|
| LBN Legal business name | Gogel, Brian Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 26th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083672836 | NPPES |
| Texas | MEDICAID | 030086504 | |
| Texas | MEDICAID | 030086502 | |
| Texas | Other | P01170816 | |
| Texas | MEDICAID | 030086503 |
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