Active NPI
Neil W Brogden, OD
- Optometrist
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1425-566T
- Practice address
- Vitreo-Retinal Associates
836 Olive Street
Shreveport, LA 71104-2102 - Phone
- (318) 222-8421
- Fax
- (318) 673-9972
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1425-566T | LA | Primary |
Addresses
Primary practice location
Vitreo-Retinal Associates
836 Olive Street
Shreveport, LA 71104-2102
Mailing address
186 Aw Drive
Stonewall, LA 71078
Phone (318) 780-6006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 3Rd St
Rapid City, SD 57701-7374
Phone (605) 341-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.81 of 100
- Quality
- 95.63
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Regional Eye Institute, LLP | Optometrist | Current | Accepting new patients |
| Black Hills Regional Eye Institute, LLP | Optometrist | Current | Accepting new patients |
| Taylor Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
2434 Highway 171
Stonewall, LA 71078
Phone (318) 925-2345
809 E Dakota Ave
Pierre, SD 57501
Phone (605) 224-3100
2800 3rd St
Rapid City, SD 57701
Phone (605) 341-2000
Interoperability endpoints
- nbrogden@bhrei.emadirect.md
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Rapid City, SD
- NPI 1952381881
Optometrist
-
- Optometrist
- Stonewall, LA
- NPI 1215398631
-
- Ophthalmology Physician
- Chadron, NE
- NPI 1043778103
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1265545644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 AW DRIVE",
"city": "STONEWALL",
"state": "LA",
"postal_code": "71078",
"telephone_number": "318-780-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VITREO-RETINAL ASSOCIATES",
"address_2": "836 OLIVE STREET",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711042102",
"telephone_number": "318-222-8421",
"fax_number": "318-673-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGDEN",
"first_name": "NEIL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1425-566T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.