Mr Gregory Jon Brogden, ACNP-BC | |
1860 S Seguin Ave, New Braunfels, TX 78130-3913 | |
(210) 448-7700 | |
(210) 448-7703 |
Full Name | Mr Gregory Jon Brogden |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 1860 S Seguin Ave, New Braunfels, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659674760 | NPI | - | NPPES |
12297180 | Other | TX | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 663310 (Texas) | Primary |
208M00000X | Hospitalist | 663310 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Hospital | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centric Physicians Group Pllc | 1951614726 | 28 |
Neuropro Of Texas | 9638422215 | 4 |
Entity Name | Centric Physicians Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073907184 PECOS PAC ID: 1951614726 Enrollment ID: O20150722005727 |
Entity Name | Neuropro Of Texas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619458403 PECOS PAC ID: 9638422215 Enrollment ID: O20181029001849 |
Entity Name | Pai Participant 9 Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679135420 PECOS PAC ID: 7113254277 Enrollment ID: O20190812003650 |
Entity Name | Extensivists Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871116962 PECOS PAC ID: 4587083365 Enrollment ID: O20200928002545 |
Mailing Address | Practice Location Address |
---|---|
Mr Gregory Jon Brogden, ACNP-BC 113 Pleasant Valley Dr, Ste 210, Boerne, TX 78006-5683 Ph: (830) 267-4575 | Mr Gregory Jon Brogden, ACNP-BC 1860 S Seguin Ave, New Braunfels, TX 78130-3913 Ph: (210) 448-7700 |
Mrs. Paula Josephine Worley, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 66 Gruene Park Dr Ste 205, New Braunfels, TX 78130 Phone: 830-743-9192 Fax: 830-743-9193 | |
Joni Maxwell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 246 Posey Pass, New Braunfels, TX 78132 Phone: 615-306-6845 | |
David Jones, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 598 N Union Ave, Ste 335, New Braunfels, TX 78130 Phone: 830-643-6205 Fax: 830-643-6204 | |
Sherry Petrosky, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1619 E Common St, New Braunfels, TX 78130 Phone: 830-620-0330 | |
Tiffany A Peteete, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Union Ave, New Braunfels, TX 78130 Phone: 830-708-0113 | |
Deborah Lynne Burley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Landa, Suite C, New Braunfels, TX 78130 Phone: 830-629-3614 Fax: 830-629-2438 | |
Diana Joye Smith, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 43 Yu Dr Ste 2, New Braunfels, TX 78130 Phone: 830-620-0330 |