| Mr Gregory Jon Brogden, ACNP-BC | |
|
1860 S Seguin Ave, New Braunfels, TX 78130-3913 | |
| (210) 448-7700 | |
| (210) 448-7703 |
| Full Name | Mr Gregory Jon Brogden |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1860 S Seguin Ave, New Braunfels, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659674760 | NPI | - | NPPES |
| 12297180 | Other | TX | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 663310 (Texas) | Primary |
| 208M00000X | Hospitalist | 663310 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospital | San antonio, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centric Physicians Group Pllc | 1951614726 | 28 |
| Neuropro Of Texas | 9638422215 | 4 |
| Entity Name | Centric Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073907184 PECOS PAC ID: 1951614726 Enrollment ID: O20150722005727 |
| Entity Name | Neuropro Of Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619458403 PECOS PAC ID: 9638422215 Enrollment ID: O20181029001849 |
| Entity Name | Extensivists Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871116962 PECOS PAC ID: 4587083365 Enrollment ID: O20200928002545 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory Jon Brogden, ACNP-BC 113 Pleasant Valley Dr, Ste 210, Boerne, TX 78006-5683 Ph: (830) 267-4575 | Mr Gregory Jon Brogden, ACNP-BC 1860 S Seguin Ave, New Braunfels, TX 78130-3913 Ph: (210) 448-7700 |
Mrs. Paula Josephine Worley, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 66 Gruene Park Dr Ste 205, New Braunfels, TX 78130 Phone: 830-743-9192 Fax: 830-743-9193 | |
Aaron Wilson Kirby, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 790 Generations Dr Ste 210, New Braunfels, TX 78130 Phone: 210-868-5801 | |
David Jones, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 598 N Union Ave, Ste 335, New Braunfels, TX 78130 Phone: 830-643-6205 Fax: 830-643-6204 | |
Sherry Lynnette Petrosky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1626 E Common St, New Braunfels, TX 78130 Phone: 830-620-1272 | |
Kelly Jo Koss, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1534 Misty Holw, New Braunfels, TX 78132 Phone: 888-731-8994 | |
Amanda Hunt, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1195 W San Antonio St, New Braunfels, TX 78130 Phone: 830-632-5231 | |
Tiffany A Peteete, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Union Ave, New Braunfels, TX 78130 Phone: 830-708-0113 |