MR. COLVIN JEFFREY BROGDON LPC NCC NPI 1396843579

NPI Information

NPI: 1396843579
Provider Name: MR. COLVIN JEFFREY BROGDON, LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
113 BASCOM CT STE C
COLUMBUS, GA
ZIP 31909
Phone: (706) 569-7254
Get Directions

MR. Colvin Jeffrey Brogdon, LPC, NCC is a professional counselor in Columbus, GA. MR. Colvin Jeffrey Brogdon, LPC, NCC NPI is 1396843579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

113 BASCOM CT STE C
COLUMBUS, GA
ZIP 31909-798
Phone: (706) 569-7254
Fax: (706) 569-9212

The enumeration date for this NPI number is 9/20/2006 and was last updated on 6/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC002957	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	576838803A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »