Organization Active NPI

Betsy Brogan DPM Inc

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1497934087
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-3262B Issued in OH
Legal business name
BETSY BROGAN DPM INC
Practice address
5520 Harrison Ave
Suite 2
Cincinnati, OH 45248-2362
Phone
(513) 598-8324
Fax
(513) 598-8327
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Betsy A Brogan, D.P.M.NPI 1851316798
Title
Owner
Phone
(513) 598-8324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36-00-3262B OH Primary

Addresses

Primary practice location

5520 Harrison Ave
Suite 2
Cincinnati, OH 45248-2362

Mailing address

5520 Harrison Ave
Suite 2
Cincinnati, OH 45248-2362
Phone (513) 598-8324

Other identifiers 2

IdentifierTypeStateIssuer
P00109971OtherOHRAILROAD MEDICARE
2404142MedicaidOH

Other names 1

  • Dr., Betsy Brogan DPM Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000226 OH Part B Supplier - Clinic/Group Practice 9931096294 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5520 Harrison Ave
Cincinnati, OH 45248
Phone (513) 598-8324

5520 Harrison Ave
Ste 2
Cincinnati, OH 45248
Phone (513) 598-8324

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1497934087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 HARRISON AVE",
            "address_2": "SUITE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482362",
            "telephone_number": "513-598-8324",
            "fax_number": "513-598-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 HARRISON AVE",
            "address_2": "SUITE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482362",
            "telephone_number": "513-598-8324",
            "fax_number": "513-598-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY BROGAN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "BROGAN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-598-8324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-3262B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00109971",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2404142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr., Betsy Brogan DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.