Active NPI
Autumn Brogan
- Emergency Medicine Physician
- Albert Lea, MN
National Provider Identifier
1578729976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 53558
- Practice address
- 404 W Fountain St
Mayo Clinic Health System, Dept of Em
Albert Lea, MN 56007-2437 - Phone
- (507) 373-2384
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21206 | MN | |
| Emergency Medicine Physician | 207P00000X | A117018 | CA | |
| Emergency Medicine Physician | 207P00000X | 56455-20 | WI | |
| Emergency Medicine Physician | 207P00000X | 53558 | MN | Primary |
Addresses
Primary practice location
404 W Fountain St
Mayo Clinic Health System, Dept of Em
Albert Lea, MN 56007-2437
Mailing address
404 W Fountain St
Mayo Clinic Health System, Dept of Em
Albert Lea, MN 56007-2437
Phone (507) 373-2384
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21206 | Other | MN | MN PERMIT NUMBER |
| P01251460 | Other | MN | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abrogan88780@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Minnesota Region
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
1216 2ND St SW
Rochester, MN 55902-1906
Phone (507) 255-5123
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21206 | MN | MD | Anesthesiology Physician |
Practice roles
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Interoperability endpoints
- abrogan88780@ehrdirect.mayoclinicmsg.org
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
-
- Multi-Specialty Clinic/Center
- Lake City, MN
- NPI 1164463659
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
-
- Critical Access Hospital
- Cannon Falls, MN
- NPI 1063435410
-
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Multi-Specialty Clinic/Center
- Saint James, MN
- NPI 1023177730
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1578729976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W FOUNTAIN ST",
"address_2": "MAYO CLINIC HEALTH SYSTEM, DEPT OF EM",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560072437",
"telephone_number": "507-373-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W FOUNTAIN ST",
"address_2": "MAYO CLINIC HEALTH SYSTEM, DEPT OF EM",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560072437",
"telephone_number": "507-373-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "AUTUMN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "21206",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A117018",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "56455-20",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "53558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN PERMIT NUMBER",
"identifier": "21206",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01251460",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abrogan88780@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "404 W Fountain St",
"address_2": "Mayo Clinic Health System, Dept of EM",
"city": "Albert Lea",
"state": "MN",
"country_code": "US",
"postal_code": "560072437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Albert Lea, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.