Brenda J. Fogarty OD &Assoc. P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NH 472 Issued in NH

Legal business name

BRENDA J. FOGARTY OD &ASSOC. P.A.

Practice address

167 S Broadway
Salem, NH 03079-3309

Phone

(603) 893-5288

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brenda J Fogarty, O.D.

Title

President

Phone

(603) 893-5288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1558477547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 S BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793309",
            "telephone_number": "603-893-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793309",
            "telephone_number": "603-893-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA J. FOGARTY OD &ASSOC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-893-5288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH 472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Bradford, MHC
• Nicole Emily Bradford
• Tracey Bradford
• Mary Therese Brady, MD
• Colleen M Brauch, DPT
• Brenda Ucich Licsw
• Elizabeth Brenden, LICSW
• Thomas Ryan Breslin, APRN
• Marlena J. Bresnick, OTR/L
• Gina Brewer

• Optometrist in Salem, NH
• Providers in Salem, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.