Andrea Witherspoon Brogdon, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A0212030 Issued in NC

Practice address

3803 N Elm St
Greensboro, NC 27455-2593

Phone

(336) 540-2000

NPI assigned

Jan 29, 2013

Last updated

Jan 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Optum Care Services Company

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1912199415

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1437497245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552593",
            "telephone_number": "336-540-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552593",
            "telephone_number": "336-540-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGDON",
        "first_name": "ANDREA",
        "middle_name": "WITHERSPOON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "A0212030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Broadwater, L.P.C.
• Thomas E Brock, M.D.
• Taylor Kellen Broderick
• Bruce Rogers Brodie, M.D.
• Dora Miroslava Brodie, M.D.
• Martin Harrington Bronson, DO
• Samantha Marie Bronson, PT
• Maria Brooks-Branham, MED,CCC-SLP
• Briana Brooks, RN
• Dahari D Brooks, M.D.

• Adult Health Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.