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
Fax: (972) 566-6256
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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 1083672836 NPPES
Texas MEDICAID 030086504
Texas MEDICAID 030086502
Texas Other P01170816
Texas MEDICAID 030086503

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