BRIAN J. GROGAN M.D. NPI 1124004668

NPI Information

NPI: 1124004668
Provider Name: BRIAN J. GROGAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
85 SEYMOUR ST
SUITE 200
HARTFORD, CT
ZIP 06106
Phone: (860) 289-3375
Get Directions

Brian J. Grogan, M.D. is a diagnostic radiology radiology in Hartford, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Brian J. Grogan, M.D. NPI is 1124004668. 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:

85 SEYMOUR ST
SUITE 200
HARTFORD, CT
ZIP 06106-501
Phone: (860) 289-3375
Fax: (860) 560-2849

The enumeration date for this NPI number is 12/16/2005 and was last updated on 10/21/2008.

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	2085R0202X	Radiology	Diagnostic Radiology	027175	CONNECTICUT	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	001021757	MEDICAID	CONNECTICUT
2	A2516306	OTHER	CONNECTICUT	OXFORD
3	010027175CT05	OTHER	CONNECTICUT	ANTHEM BC/BS
4	300002093	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
5	B39571	MEDICARE UPIN	CONNECTICUT

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: 4/28/2024

NPI Synchronization or Removal

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