Ellen Brubeck Brogden (NPI# 1184706830, PAC ID# 7416146089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184706830 |
| PAC ID by PECOS | 7416146089 |
| Professional Enrollment ID | I20110112001025 |
| Full Name | Ellen Brubeck Brogden |
| Address |
1140 N Breazeale Ave Mount Olive NC 28365-1121 |
| Phone Number | 9192994800 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340010 | WAYNE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1140 N Breazeale Ave, Mount Olive, NC 28365-1121 | 9192994800 |
| Street Address |
1140 N BREAZEALE AVE |
| City | MOUNT OLIVE |
| State | NC |
| Zip | 28365-1121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine F Noonan | Clinical Social Worker | Bass Counseling Services, Inc. | 1010 N Breazeale Ave, Suite C, Mount Olive, NC 28365-1106 |
| Dawn Foss Knowles | Clinical Social Worker | Bass Counseling Services, Inc. | 1010 N Breazeale Ave, Suite C, Mount Olive, NC 28365-1106 |
| Jo Ann Todd | Optometry | 1122 N Breazeale Ave, Mount Olive, NC 28365-1121 | |
| Phillip W Moye | Emergency Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Jeffrey G Harrison | Physician Assistant | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Meghan S Brown | Nurse Practitioner | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Peggie R Parks | Physician Assistant | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Robert K Talton | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Thomas S Draughon | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Vincent Paul Wilson | Family Medicine | Mt Olive Family Medicine Center Inc | 201 N Breazeale Ave, Mount Olive, NC 28365-1603 |
| Find all physicians in zip 28365 | |||
| City | MOUNT OLIVE |
| Zip Code | 28365 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUNT OLIVE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ellen Brubeck Brogden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.