John Wesley Brogdon III, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.200843 Issued in LA

Practice address

21149 Rogers Hill Rd
Covington, LA 70435-6784

Phone

(985) 951-0408

NPI assigned

May 26, 2015

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1861871667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21149 ROGERS HILL RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704356784",
            "telephone_number": "985-951-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21149 ROGERS HILL RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704356784",
            "telephone_number": "985-951-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGDON",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LOTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Crowton Brignac, MS, RD, LDN
• Danielle Brinson, LPC
• Catherine Denise Brito, L.C.S.W.
• William Brian Britton, M.D.
• Raven Broadway
• Daniel R Bronfin, MD
• Taylor King Brooks, NP
• Molly Broom, FNP
• Julie M Broussard, NNP
• Rachel Broussard, CSA

• Occupational Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.