Individual provider Active NPI

Neil W Brogden, OD

  • Optometrist
  • Shreveport, LA
National Provider Identifier
1265545644
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1425-566T Issued in LA
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

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, SD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070219000239 LA Practitioner - Optometry 9739281924 Reassigns benefits to 2 organizations
I20080424000116 TX Practitioner - Optometry 9739281924 Reassigns benefits to 1 organization
I20241217002048 SD Practitioner - Optometry 9739281924 Reassigns benefits to 1 organization

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
Black Hills Regional Eye Institute LLPGroup PAC ID 0547156762, 13 clinicians

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 100Reported as group
Quality
95.63
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Regional Eye Institute, LLP Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Black Hills Regional Eye Institute, LLP Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Taylor Eye Care, LLC Optometrist CurrentSince Jul 5, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.