Individual provider Active NPI

Terri-Ann K Brogan, DO

  • Family Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1356328660
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7484 Issued in FL
Practice address
1395 N Courtenay Pkwy
Suite 107
Merritt Island, FL 32953-4400
Phone
(321) 453-1955
Fax
(321) 454-2406
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7484 FL Primary

Addresses

Primary practice location

1395 N Courtenay Pkwy
Suite 107
Merritt Island, FL 32953-4400

Mailing address

1395 N Courtenay Pkwy
Suite 107
Merritt Island, FL 32953-4400
Phone (321) 453-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20060119000639 FL Practitioner - Family Practice 7416971213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Point Physicians LLCGroup PAC ID 8820170517, 4 clinicians

Practice addresses (Care Compare)

1395 N Courtenay Pkwy
Suite 107
Merritt Island, FL 32953-4474
Phone (321) 453-1955

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Point Physicians LLC Family Medicine CurrentSince Jan 1, 2008 Accepting new patients

Locations

1395 N Courtenay Pkwy
Ste 107
Merritt Island, FL 32953
Phone (321) 453-1955

Interoperability endpoints

  • Direct secure messaging: admin@northpointphysicians.e-mdsdirect.com
  • Direct secure messaging: terri-ann-brogan@northpointphysicians.e-mdsdirect.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1356328660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY",
            "address_2": "SUITE 107",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534400",
            "telephone_number": "321-453-1955",
            "fax_number": "321-454-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY",
            "address_2": "SUITE 107",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534400",
            "telephone_number": "321-453-1955",
            "fax_number": "321-454-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "TERRI-ANN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.