Erika Shanelle Brogdon, NP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95014442 Issued in CA

Practice address

2430 W Coast Hwy
Newport Beach, CA 92663-4780

Phone

(562) 371-0719

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karefirst Nursing California PCGroup PAC ID 2264908326, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: erika.brogdon.1@27211.direct.athenahealth.com

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.

• Karefirst Nursing California PC

  • Nurse Practitioner
  • Arcadia, CA
  • NPI 1578455986
  Care Compare group

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1760115596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043012",
            "telephone_number": "951-231-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W COAST HWY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634780",
            "telephone_number": "562-371-0719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 Wilshire Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103713",
            "country_code": "US",
            "telephone_number": "323-931-4662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROGDON",
        "first_name": "ERIKA",
        "middle_name": "SHANELLE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95014442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brite Recovery LLC
• Deena Britting
• Tiare Brock, LMFT
• Erica Brockman, PPS
• Peter Broekelschen, MD
• Erica Gilbert Bromley, M.D.
• Brooke Alexander-Bloom D.O a Professional Medical Corporation
• Allyson Brooks, MD
• Serena Brouelette
• George H Brouillet, AMFT

• All providers in Newport Beach, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.

Verify at the official NPI Registry.