Active NPI
Ellen Brubeck Brogden, M.D.
- Family Medicine Physician
- Mount Olive, NC
National Provider Identifier
1184706830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20911
- Practice address
- 1140 N Breazeale Ave
Mount Olive, NC 28365-1121 - Phone
- (919) 299-4800
- Fax
- (919) 299-4802
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20911 | NC | Primary |
Addresses
Primary practice location
1140 N Breazeale Ave
Mount Olive, NC 28365-1121
Mailing address
1140 N Breazeale Ave
Mount Olive, NC 28365-1121
Phone (919) 299-4800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406028 | Medicaid | NC | |
| 8919280 | Medicaid | NC | |
| 19284 | Other | NC | BCBS |
Other names 1
- Mrs. Ellen Brubeck Brogden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110112001025 | NC | Practitioner - Family Practice | 7416146089 | Practice locations: Mount Olive, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1140 N Breazeale Ave
Mount Olive, NC 28365-1121
Phone (919) 299-4800
Hospital & facility affiliations
- Centerwell Home Health
- 3HC
- Unc Health Care Wayne
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Vail, PA-C, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Goldsboro, NC
- NPI 1043702889
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Goldsboro, NC
- NPI 1558396622
Home health agency
-
- Home Health Agency
- Goldsboro, NC
- NPI 1750337366
-
- Home Health Agency
- Goldsboro, NC
- NPI 1558391391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1184706830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 N BREAZEALE AVE",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651121",
"telephone_number": "919-299-4800",
"fax_number": "919-299-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 N BREAZEALE AVE",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651121",
"telephone_number": "919-299-4800",
"fax_number": "919-299-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGDEN",
"first_name": "ELLEN",
"middle_name": "BRUBECK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "20911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406028",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8919280",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19284",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "BROGDEN",
"middle_name": "BRUBECK",
"prefix": "MRS.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mount Olive, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.