DR. MARLENE M BROGAN (NPI# 1235347352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235347352 |
| Entity Type | Individual |
| Full Name | DR. MARLENE M BROGAN |
| Credential | M.D. |
| Practice Address |
4005 Oleander Dr Wilmington NC 28403-6816 |
| Mailing Address |
127 N Tryon St Unit 516 Charlotte NC 28202-2194 |
| Practice Telephone | 9107909949 |
| Practice Fax Number | 9102029966 |
| Mailing Telephone | 7045267844 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
9600466 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1235347352 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 127 N Tryon St Unit 516, Charlotte, NC 282022194 | 7045267844 | |
| 615 Shipyard Blvd, Wilmington, NC 284126431 | 9102025709 | 9102026699 |
| Street Address |
4005 OLEANDER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788024 | Donna White Bass | Nurse Practitioner | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2005-05-31 |
| 1225656663 | Clayton Campbell Gruber | Social Worker | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2020-07-13 |
| 1417574500 | Megan Shavon Bolden | Social Worker | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2020-07-06 |
| 1356973242 | Josalin Hunter-jones | Social Worker | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2020-02-07 |
| 1053955294 | Jennifer Ann Rendleman | Social Worker | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2019-10-31 |
| 1295244002 | James Mckay Glasgow | Social Worker | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2017-09-25 |
| 1386199560 | Anka Roberto | Nurse Practitioner | 4005 Oleander Dr, Wilmington, NC 28403 | 2016-08-17 |
| 1982055273 | Coastal Horizons Center Inc. | Counselor | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2016-06-28 |
| 1447608575 | Coastal Horizons Center, Inc. | Family Medicine | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2016-05-31 |
| 1790172153 | Meghan Helen Blair | Counselor | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700069150 | Allied Psychophysiology Services Pllc | Psychiatry & Neurology | 2018 Eastwood Rd, Wilmington, NC 28403-7228 | 2007-12-07 |
| 1518179852 | Elizabeth A Coleman | Psychiatry & Neurology | 313 Walnut St, Suite 104, Wilmington, NC 28401-4067 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568674752 | Lake Norman Psychiatry & Counseling, Pllc | Psychiatry & Neurology | 116 South Main Street Suite 205, Mooresville, NC 28115-0900 | 2007-05-03 |
| 1376761866 | Jean Ann Hamilton | Psychiatry & Neurology | 2741 Campus Walk Ave, Bldg 500, Ste 110, Durham, NC 27705 | 2007-04-23 |
| 1215346440 | Center Fo Emotional Health | Psychiatry & Neurology | 280 Executive Park Dr, Suite 100, Concord, NC 28025-1837 | 2014-08-13 |
| 1477748747 | David B Durham Md PC | Psychiatry & Neurology | 1236 Huffman Mill Rd, Suite 2450, Burlington, NC 27215-8700 | 2007-09-11 |
| 1932311339 | Alexandra Newlin Powell | Psychiatry & Neurology | 2020 W Main St, Suite #20, Durham, NC 27705-4683 | 2007-05-06 |
| City | WILMINGTON |
| Zip Code | 28403 |
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| 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.