HARMONY RAE BROGDEN PA NPI 1194026815

NPI Information

NPI: 1194026815
Provider Name: HARMONY RAE BROGDEN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2350 SCHILLINGER RD S
SUITE A
MOBILE, AL
ZIP 36695
Phone: (251) 633-0123
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Harmony Rae Brogden, PA is a medical physician assistant in Mobile, AL with 14 years of experience. Harmony Rae Brogden, PA NPI is 1194026815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2350 SCHILLINGER RD S
SUITE A
MOBILE, AL
ZIP 36695-177
Phone: (251) 633-0123

The NPI 1194026815 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2010 and was last updated on 8/19/2021.

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	363AM0700X	Physician Assistant	Medical	PA760	ALABAMA	Yes
2	363AM0700X	Physician Assistant	Medical	PA00139	MISSISSIPPI	No

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	04074780	MEDICAID	MISSISSIPPI
2	9802592	OTHER	MISSISSIPPI	AETNA

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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