Kevin Andrew Brogan, MPT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23807 Issued in CA

Practice address

145 Shaw Ave
Suite a
Clovis, CA 93612-3841

Phone

(559) 299-2244

Fax

(559) 299-2487

NPI assigned

Sep 20, 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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hughes/Brogan Physical TherapyGroup PAC ID 6507754884, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Physical Therapy

  • Physical Therapist
  • Fresno, CA
  • NPI 1528100450
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245338094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SHAW AVE",
            "address_2": "SUITE A",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123841",
            "telephone_number": "559-299-2244",
            "fax_number": "559-299-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SHAW AVE",
            "address_2": "SUITE A",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123841",
            "telephone_number": "559-299-2244",
            "fax_number": "559-299-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MPT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Kenneth Brigham, DDS
• Melissa Anne Bright, LMFT
• Brilyn Jacobsen Medical Practitioner Inc
• Vanessa Ann Brits, FNP-C
• Korleen Brock-Jones
• Cayla Ann Brosi, DMD
• Gloria I Brough-Stevenson, MD
• Coriana Brown
• Derric Devon Brown Sr.
• Israel K Brown, DO

• Physical Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Physical Therapist in California

• 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.
• 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.

Verify at the official NPI Registry.