Individual provider Active NPI

Nyel Brogden

  • Massage Therapist
  • Jacksonville, FL
National Provider Identifier
1386575306
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA58098 Issued in FL
Practice address
9471 Baymeadows Rd Ste 104
Jacksonville, FL 32256-7919
Phone
(904) 993-5400
NPI assigned
May 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA58098 FL Primary

Addresses

Primary practice location

9471 Baymeadows Rd Ste 104
Jacksonville, FL 32256-7919

Mailing address

9471 Baymeadows Rd Ste 104
Jacksonville, FL 32256-7919

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

State licenses

LicenseStateTypeSpecialty
MA58098FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1386575306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9471 BAYMEADOWS RD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9471 BAYMEADOWS RD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567919",
            "telephone_number": "904-993-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGDEN",
        "first_name": "NYEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.