W CHUCK BROGAN III MD PHD PA NPI 1578621967

NPI Information

NPI: 1578621967
Provider Name: W CHUCK BROGAN III MD PHD PA

Doing Business As: BROGAN HEART CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
7008 INDIANA AVENUE
SUITE A
LUBBOCK, TX
ZIP 79413
Phone: (806) 788-1377
Get Directions

W CHUCK BROGAN III MD PHD PA is a cardiovascular disease internal medicine in Lubbock, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. W CHUCK BROGAN III MD PHD PA NPI is 1578621967. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brogan Heart Center.

The provider's business location address is:

7008 INDIANA AVENUE
SUITE A
LUBBOCK, TX
ZIP 79413
Phone: (806) 788-1377
Fax: (806) 281-1567

The provider's authorized official is Joe X Kenady .
The authorized official title is Administrator and has the following contact phone number (806) 788-1377.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 12/16/2008.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	H9305	TEXAS	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	079856301	MEDICAID	TEXAS
2	00092R	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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

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