Victoria Brogdon

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

376873231097 Issued in OH

Practice address

805 Hoyt St SW
Warren, OH 44485-3847

Phone

(330) 984-1593

NPI assigned

Mar 9, 2017

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1538600614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HOYT ST SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444853847",
            "telephone_number": "330-984-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HOYT ST SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444853847",
            "telephone_number": "330-984-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGDON",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "376873231097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britton Taylor
• Vanessa Brocco, LSW/P.C.
• Brodell Medical, Inc
• James David Brodell, M.D.
• Shayla Nicole Brogdon
• Megan Gwyneth Brooker, MD
• Samara Brooks
• Joseph Edward Bross, LPN
• Akeira Renae Brown
• Amber Brown

• Nurse's Aide in Warren, OH
• Providers in Warren, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.