Michael C Brogna, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD040060L Issued in PA

Practice address

200 State Hospital Dr
Danville, PA 17821-9198

Phone

(570) 271-4500

Fax

(570) 271-4802

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania Department of Human Services

  • Psychiatric Hospital
  • Danville, PA
  • NPI 1457334336
  Medicare reassignment NPD
• Pennsylvania Department of Public Welfare

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053341537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STATE HOSPITAL DR",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219198",
            "telephone_number": "570-271-4500",
            "fax_number": "570-271-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE HOSPITAL DR",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219198",
            "telephone_number": "570-271-4500",
            "fax_number": "570-271-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGNA",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD040060L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amilynn Britton
• John Britton
• Taeja Broadwater, PA-C
• Bradley Eugene Brocious, D.O.
• Alessandra Brofferio, MD
• Amy Lynne Brokenshire, PHARMD
• Ann Erin Brokenshire, DMD
• John Robert Brokenshire, DDS
• Oleg E. Bronov, M.D.
• Melvin L. Brooks Jr., CRNA

• Internal Medicine Physician in Danville, PA
• Providers in Danville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.