Brian Grogan, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2971884 Issued in ID

Practice address

3217 W Bavaria St
Eagle, ID 83616-5171

Phone

(208) 302-6200

Fax

(208) 302-6255

NPI assigned

Nov 6, 2006

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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

• San Diego Family Care

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1457724858
  NPD (past)
• San Diego Family Care

  dba Linda Vista Health Care Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1730218348
  NPD (past)
• San Diego Family Care

  dba Linda Vista Health Care Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1780665877
  NPD (past)
• San Diego Family Care

  dba Mid-City Community Clinic-Pediatrics

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1962483040
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1235218439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 W BAVARIA ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165171",
            "telephone_number": "208-302-6200",
            "fax_number": "208-302-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 S 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648000",
            "country_code": "US",
            "telephone_number": "928-783-3050 x340",
            "fax_number": "928-782-7473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6973 Linda Vista Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921116342",
            "country_code": "US",
            "telephone_number": "858-279-0925",
            "fax_number": "858-633-4680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G63543",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "21573",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "2971884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132902",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory L. Flint M.D., P.C.
• Bryanne Gribble, DPT
• Daniela Grigore, MD
• Grit Mobility Concepts, LLC
• Janet Lee Groeger, LMT
• Felicia Groves
• Gabriel Guerrero, D.O.
• Tawnya Marie Hughes Guimond, LM, CPM
• Joshua Guinter, DPT
• Leslie Gwen Gunnerson, R.N., I.B.C.L.C.

• Obstetrics & Gynecology Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Obstetrics & Gynecology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.