Active NPI
Andrew Brogan, PA-C
- Physician Assistant
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1501649
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 962-2239
- NPI assigned
- Oct 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-01649 | KS | |
| Physician Assistant | 363A00000X | 1501649 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131216000702 | KS | Practitioner - Physician Assistant | 0547497778 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rooks County Health CenterPrairiestar Health Center Inc
Practice addresses (Care Compare)
1210 N Washington St
Plainville, KS 67663-1632
Phone (785) 434-2622
2700 E 30TH Ave
Hutchinson, KS 67502-1242
Phone (620) 663-8484
Hospital & facility affiliations
- Rooks County Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01649 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooks County Health Center | Current | Accepting new patients | |
| Cep America - Kansas LLC | Current | Accepting new patients | |
| Rooks County Health Center | Current | Accepting new patients | |
| William Newton Memorial Hospital | Current | Accepting new patients | |
| Cep America - Kansas LLC | Current | Accepting new patients | |
| Rooks County Health Center | Current | Accepting new patients | |
| William Newton Memorial Hospital | Current | Accepting new patients | |
| Runway Emergency Physicians LLC | Past | Accepting new patients | |
| Rooks County Health Center | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
107 S Spruce St
Stockton, KS 67669
Phone (785) 425-6921
1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300
Organizations & group practices 15
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.
-
- Federally Qualified Health Center (FQHC)
- Hutchinson, KS
- NPI 1871564534
KS
-
- Rural Health Clinic/Center
- Stockton, KS
- NPI 1043040637
-
- Critical Access Hospital
- Plainville, KS
- NPI 1649278854
-
- Surgery Physician
- Plainville, KS
- NPI 1003209719
-
- Rural Health Clinic/Center
- Plainville, KS
- NPI 1073357067
-
- Medicare Defined Swing Bed Hospital Unit
- Plainville, KS
- NPI 1972502060
-
- Emergency Medicine Physician
- Derby, KS
- NPI 1841754660
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1669809497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "ANDREW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-14",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "15-01649",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1501649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.