STEPHANIE J BROGDEN (NPI# 1578524724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578524724 |
| Entity Type | Individual |
| Full Name | STEPHANIE J BROGDEN |
| Credential | M.D. |
| Practice Address |
1209 Se Industry Dr Oxford NC 27565-5023 |
| Practice Telephone | 2524928576 |
| Practice Fax Number | 2524927464 |
| Mailing Telephone | 2524928576 |
| Mailing Fax Number | 2524927464 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 051437 | GA | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | 9900437 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA LICENSE NUMBER | 051437 | 01 |
| GA | 000964224B | 05 | |
| NC | NORTH CAROLINA LICENSE NU | 9900437 | 01 |
| NC | 1578524724 | 05 | |
| DEA NUMBER | BB6390924 | 01 |
| Street Address |
1209 SE INDUSTRY DR |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009996 | Estena P Bradley | Nurse Practitioner | 1209 Se Industry Dr, Oxford, NC 27565 | 2006-01-30 |
| 1285282947 | Alyson Ringle | Registered Nurse | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2019-08-27 |
| 1629447396 | Dlp Maria Parham Physician Practices LLC | Internal Medicine | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2015-09-23 |
| 1861878324 | Emma White | Obstetrics & Gynecology | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2015-08-07 |
| 1568873768 | Private Diagnostic Clinic, Pllc | Obstetrics & Gynecology | 1209 Se Industry Dr, Oxford, NC 27565 | 2014-05-12 |
| 1841559432 | Karen Milne Maclean | Advanced Practice Midwife | 1209 Se Industry Dr, Oxford, NC 27565 | 2012-05-16 |
| 1427285691 | Syreeta Alston Tucker | Obstetrics & Gynecology | 1209 Se Industry Dr, Oxford, NC 27536 | 2009-06-16 |
| 1477579035 | Cara Cameron | Advanced Practice Midwife | 1209 Se Industry Dr, Oxford, NC 27565 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023294527 | Samuel Ward Cole | Obstetrics & Gynecology | 2610 South Lamar Blvd, Oxford, MS 38655 | 2008-01-14 |
| 1063456747 | Phillip C Carr | Obstetrics & Gynecology | 10 N Locust St Ste C, Oxford, OH 45056-1182 | 2006-06-15 |
| 1134108434 | Carolina Womens Center Pa | Obstetrics & Gynecology | 1018 College Street, Oxford, NC 27565 | 2006-01-13 |
| 1508845801 | James Weldon Hampton | Obstetrics & Gynecology | 1209 Se Industry Drive, Oxford, NC 27565 | 2006-01-13 |
| 1609855907 | James Andrew Mccarthy Sr. | Obstetrics & Gynecology | 102 Professional Park Ste A, Oxford, NC 27565-2554 | 2006-01-13 |
| 1023099843 | Lana D Powell | Obstetrics & Gynecology | 51 S Washington St, Suite E, Oxford, MI 48371 | 2005-11-09 |
| 1407844202 | Marion Glenn Hunt | Obstetrics & Gynecology | 1204 Medical Park Dr, Oxford, MS 38655-5326 | 2005-10-06 |
| 1346235850 | Ronald Blake Smith | Obstetrics & Gynecology | 2610 S Lamar Blvd, Oxford, MS 38655-5243 | 2005-09-12 |
| 1861878324 | Emma White | Obstetrics & Gynecology | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2015-08-07 |
| 1851782973 | James A Mccarthy Md, Pllc | Obstetrics & Gynecology | 102 Professional Park Ste A, Oxford, NC 27565-2554 | 2015-02-11 |
| Find all providers in OXFORD | ||||
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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.