PHILIP BROGDEN (NPI# 1033621222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033621222 |
Entity Type | Individual |
Full Name | PHILIP BROGDEN |
Credential | LMT |
Practice Address |
14028 N Highway 183 Ste D120 Austin TX 78717-5992 |
Practice Telephone | 5122508800 |
Mailing Telephone | 5122508800 |
Enumeration Date | 2017-10-29 |
Last Update Date | 2017-10-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT121606 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | LMT | MT121606 | 01 |
Street Address |
14028 N HIGHWAY 183 STE D120 |
City | AUSTIN |
State | TX |
Zip Code | 78717-5992 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766290 | Eva Charo | Registered Nurse | 2036 Bel Paese Bend, Leander, TX 78717 | 2020-10-06 |
1568940591 | Hannah Joy Winger | Registered Nurse | 15510 Ranch Road 620 North. Apt 2104, Austin, TX 78717 | 2018-08-01 |
1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
1790204378 | May Paraan Harris | Nurse Practitioner | 162919 Ranch Road 620 N., Austin, TX 78717 | 2017-09-14 |
1386168706 | Zachary David Lewitz | Pharmacist | 14028 North Us 183, Austin, TX 78717 | 2017-07-27 |
1538608724 | Britex Walden Pllc | Clinic/Center | 9800 North Lake Creek Parkway, Suite # 150, Austin, TX 78717 | 2017-02-21 |
1639574338 | Sam's East, Inc. | Technician/Technologist | 10901 Lakeline Mall Dr., Austin, TX 78717 | 2014-10-24 |
1023453677 | Nw Dentistry and Orthodontics, PC | Dentist | 14028 North Us Highway 183, Suite 430, Austin, TX 78717 | 2013-05-08 |
1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
1891036703 | Paul Jeffrey Marchioni | Pharmacist | 14028 North Us Hwy. 183, Austin, TX 78717 | 2013-03-04 |
Find all providers in zip 78717 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386043 | Julian Denman | Massage Therapist | 4009 Victory Dr Apt C311, Austin, TX 78704-7588 | 2020-11-03 |
1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
1811596380 | Zanni Bantam | Massage Therapist | 7700 Whispering Winds Dr, Austin, TX 78745-6063 | 2020-10-25 |
1235738378 | Alexander Ray Skeen | Massage Therapist | 6609 Loretta White Ln, Austin, TX 78744-6411 | 2020-10-20 |
1578161121 | Laci Smith | Massage Therapist | 5408 Wolf Run, Austin, TX 78749-1238 | 2020-10-15 |
1780282798 | Stephan Mangin | Massage Therapist | 6605 Debcoe Dr, Austin, TX 78749-1784 | 2020-10-12 |
1205433596 | David Chauvin | Massage Therapist | 3101 Shoreline Dr Apt 1836, Austin, TX 78728-4480 | 2020-10-08 |
1235736802 | Nicole J Guerrero | Massage Therapist | 7880 W Hwy 290 Apt 1207, Austin, TX 78736-3221 | 2020-10-06 |
1346847266 | Raul Orlando Suarez | Massage Therapist | 1505 Sunnyvale St Apt 117, Austin, TX 78741-2549 | 2020-10-04 |
1588271449 | Erik Shtaygrud | Massage Therapist | 7400 Northcrest Blvd, Austin, TX 78752-2451 | 2020-09-24 |
Find all providers in AUSTIN |
Please comment or provide details below to improve the information on PHILIP BROGDEN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.