Andrea Nicole Brogdon, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU.0002532 Issued in CO

Practice address

2501 S. College Ave
Fort Collins, CO 80525

Phone

(970) 222-0575

NPI assigned

Dec 26, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rio Rancho Acupuncture LLC

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1861138620
  NPD Authorized official

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1114566015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S. COLLEGE AVE.",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-222-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S. COLLEGE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-222-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2512 Flintridge Pl",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805214127",
            "country_code": "US",
            "telephone_number": "970-222-0575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2512 Flintridge Pl",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805214127",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2512 Flintridge Pl",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805214127",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2512",
            "address_2": "Flintridge Pl",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "80521",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROGDON",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Brockmeyer, DPT
• Julie M. Brockway, M.D.
• Teryn Brodish
• Michelle Lynne Brodsky, OTR
• Dartanyan Broeker
• Steven D Broman, M.D.
• Brookdale Senior Living Communities, Inc.
• Brookdale Senior Living Communities, Inc.
• August Brooks-Johnson
• Allison L Brooks, MS, LPC, LAC

• Acupuncturist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.