DR. STEPHEN MATTHEW BROGDON (NPI# 1275702136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275702136 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MATTHEW BROGDON |
| Credential | M.D. |
| Practice Address |
700 Lilly Rd Ne Olympia WA 98506-5115 |
| Mailing Address |
14611 Solberg Rd Se Yelm WA 98597-8541 |
| Practice Telephone | 3609237700 |
| Practice Fax Number | 3609237709 |
| Mailing Telephone | 5045591436 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
60788610 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1113 Barnes St, Bridge City, LA 700943454 | 8438478582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194835215 | Stephen Gatlin Brogdon | Dentist | 3646 Granbury Rd, Suite 104, Fort Worth, TX 76109-3717 | 2006-08-30 |
| Street Address |
700 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253596 | Sarah Hulsey | Family Medicine | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2005-05-23 |
| 1720600141 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-05-07 |
| 1780214809 | Mary Mallette | Dietitian, Registered | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-01-16 |
| 1588207534 | Phillip Inouye | Audiologist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-10-22 |
| 1083263289 | Michael Allen Foster | Physical Therapist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-09-10 |
| 1003478207 | Rhena Valentine | Midwife | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-07-08 |
| 1215495866 | Vinh Hoang Nguyen | Pharmacist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-03-02 |
| 1588147185 | Haley Mae Fuchs | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-09-10 |
| 1922588722 | Linnea Christine Robinson | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-08-21 |
| 1891272506 | Cassie Ann Icenogle | Counselor | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902144181 | James Douglas Bremner | Psychiatry & Neurology | 2103 Harrison Ave Nw # 2791, Olympia, WA 98502-2636 | 2013-01-23 |
| 1154473015 | Ritawari Mohan Sharangpani | Psychiatry & Neurology | 2617 12th Ct Sw Ste B6, Olympia, WA 98502-1023 | 2007-01-18 |
| 1306914346 | Linda Louise Miller | Psychiatry & Neurology | 3000 Limited Ln Nw Ste 135, Olympia, WA 98502-2704 | 2006-11-30 |
| 1114005584 | David Eugene Penner | Psychiatry & Neurology | 1801 W Bay Dr Nw Ste 104, Olympia, WA 98502-4310 | 2006-11-01 |
| 1831299635 | Alan Francis Javel | Psychiatry & Neurology | 2608 Pacific Ave, Suite F, Olympia, WA 98501-2085 | 2006-09-22 |
| 1609844836 | Sarah Elizabeth Leisenring | Psychiatry & Neurology | 3857 Martin Way E, Olympia, WA 98506-5268 | 2006-03-14 |
| 1528049434 | John E Kehoe | Psychiatry & Neurology | 2101 4th Ave E, Ste 200, Olympia, WA 98506-6512 | 2005-11-08 |
| 1720073232 | Saowarut Kittimongcolporn | Psychiatry & Neurology | 1722 Harrison Ave Nw, Olympia, WA 98502 | 2005-09-12 |
| 1689022766 | Kevin Michael Grabski | Psychiatry & Neurology | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2016-05-30 |
| 1548649080 | Daniel Daylamani | Psychiatry & Neurology | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2015-05-28 |
| Find all providers in OLYMPIA | ||||
Please comment or provide details below to improve the information on DR. STEPHEN MATTHEW BROGDON.
| 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.