Organization Active NPI

Brogden Corporation

  • Durable Medical Equipment & Medical Supplies
  • Summerfield, NC
National Provider Identifier
1376866699
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
08993 Issued in NC
Legal business name
BROGDEN CORPORATION
Practice address
4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415
Phone
(336) 644-7058
Fax
(336) 644-7297
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Mr. Harry Lee Brogden Jr., RPH
Title
Owner
Phone
(336) 644-7058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 08993 NC Primary

Addresses

Primary practice location

4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415

Mailing address

4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415
Phone (336) 644-7058

Other identifiers 2

IdentifierTypeStateIssuer
7704343OtherNCMEDICAID DME
0418181MedicaidNC

Other names 1

  • SUMMERFIELD PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brogden Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1376866699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 US HIGHWAY 220 N STE C",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589415",
            "telephone_number": "336-644-7058",
            "fax_number": "336-644-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 US HIGHWAY 220 N STE C",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589415",
            "telephone_number": "336-644-7058",
            "fax_number": "336-644-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROGDEN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "BROGDEN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-644-7058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "08993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "7704343",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418181",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMERFIELD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.