Samantha Michelle Brogdon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

801 West Ave
Cartersville, GA 30120-5894

Phone

(470) 227-8839

NPI assigned

Nov 15, 2024

Last updated

Nov 15, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1609691625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WEST AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301205894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WEST AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301205894",
            "telephone_number": "470-227-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGDON",
        "first_name": "SAMANTHA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Anita Bridgeman, LCSW
• Kaci L. Bridges, PT, CHT
• Bright Track Therapy LLC
• Richard H Britton II, D.O.
• Winston-Et Brobbey
• Matthew Scott Broggi, MD
• Laura Beth Brown Meisenheimer, DPT
• Andrea Brown
• Ashlee Brown, MSN, PMHNP-BC
• Christine Bomeisl Brown

• Behavior Technician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.