Active NPI
Martha A Brogan, M.D.
- Diagnostic Radiology Physician
- Columbus, OH
National Provider Identifier
1740240332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35-05-4078-B
- Practice address
- 111 S Grant Ave
3Rd Floor Radiology Dept
Columbus, OH 43215-4701 - Phone
- (614) 566-9231
- Fax
- (614) 566-8385
- NPI assigned
- Mar 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35-05-4078-B | OH | Primary |
Addresses
Primary practice location
111 S Grant Ave
3Rd Floor Radiology Dept
Columbus, OH 43215-4701
Mailing address
471 E Broad St
Suite 1500
Columbus, OH 43215-3842
Phone (614) 221-3303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0663321 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intelligent Imaging Resources LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI of Davenport. L.L.C. | Past | Accepting new patients | |
| Ramic Davenport, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Wilmington, OH
- NPI 1194778217
-
- Radiology Clinic/Center
- Davenport, IA
- NPI 1447253257
-
- Clinic/Center
- Davenport, IA
- NPI 1912192345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1740240332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 E BROAD ST",
"address_2": "SUITE 1500",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153842",
"telephone_number": "614-221-3303",
"fax_number": "614-464-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S GRANT AVE",
"address_2": "3RD FLOOR RADIOLOGY DEPT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154701",
"telephone_number": "614-566-9231",
"fax_number": "614-566-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "MARTHA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35-05-4078-B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0663321",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.