Active NPI
Dianna W Brogan, MD
- Pediatrics Physician
- Valparaiso, IN
National Provider Identifier
1376580316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- IN01045568
- Practice address
- 1101 E Glendale Blvd
Ste 101
Valparaiso, IN 46383 - Phone
- (219) 462-0555
- Fax
- (219) 548-3681
- NPI assigned
- May 31, 2006
- Last updated
- May 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | IN01045568 | IN | Primary |
| Pediatrics Physician | 208000000X | IL036093483 | IL |
Addresses
Primary practice location
1101 E Glendale Blvd
Ste 101
Valparaiso, IN 46383
Mailing address
1101 E Glendale Blvd
Ste 101
Valparaiso, IN 46383
Phone (219) 462-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000187216 | Other | IN | ANTHEM |
Other names 1
- Dianna Wroblewski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IL036093483 | IL | MD | Pediatrics Physician |
| IN01045568 | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Pediatricians, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Portage, IN
- NPI 1952469538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1376580316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E GLENDALE BLVD",
"address_2": "STE 101",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "219-462-0555",
"fax_number": "219-548-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E GLENDALE BLVD",
"address_2": "STE 101",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "219-462-0555",
"fax_number": "219-548-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "DIANNA",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "IN01045568",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "IL036093483",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000187216",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNA",
"last_name": "WROBLEWSKI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.