David Grant Brogdon, DC is a
Chiropractor based in East Ridge, Tennessee. David Grant Brogdon is licensed to practice in Tennessee (license number 1330) and his current practice location is
1471 N Mack Smith Rd, East Ridge, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 485-8480.
NPI number for David Grant Brogdon is 1811196413 and his current mailing address is 1471 N Mack Smith Rd, East Ridge, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811196413.
Healthcare Provider's Profile
| Full Name | David Grant Brogdon |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 1471 N Mack Smith Rd, East Ridge, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811196413
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 07/13/2007
Medical Identifiers
Medical identifiers for David Grant Brogdon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811196413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1330 (Tennessee) | 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. David Grant Brogdon 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 |
|---|
David Grant Brogdon, DC
1471 N Mack Smith Rd,
East Ridge, TN 37412-3947
Ph: (423) 485-8480 | David Grant Brogdon, DC
1471 N Mack Smith Rd,
East Ridge, TN 37412-3947
Ph: (423) 485-8480 |
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