THEODORE W BROGAN


Address: 3611 S Reed Rd, Ste 213, Kokomo, IN 46902-3806
Phone: 7658656076

THEODORE W BROGAN (NPI# 1639173438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639173438
Entity Type Individual
Full Name THEODORE W BROGAN
Credential MD
Practice Address 3611 S Reed Rd
Ste 213
Kokomo
IN 46902-3806
Mailing Address 6626 E 75th St
Ste 500
Indianapolis
IN 46250-2805
Practice Telephone 7658656076
Practice Fax Number 7658656077
Enumeration Date 2005-06-09
Last Update Date 2020-09-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 01048142 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200188340 05
IN ANTHEM 000000557418 01

Office Location

Street Address 3611 S REED RD
STE 213
City KOKOMO
State IN
Zip Code 46902-3806

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407493901 Jill Brock Nurse Practitioner 3611 S Reed Rd, Kokomo, IN 46902-3806 2019-12-03
1649710278 Christy Harvey Social Worker 3611 S Reed Rd, Ste 106, Kokomo, IN 46902-3806 2017-03-01
1568911337 Charles Allison Dpm LLC Podiatrist 3611 S Reed Rd, Ste 104, Kokomo, IN 46902-3806 2016-09-22
1871897538 Hemelt Neurology, LLC Psychiatry & Neurology 3611 S Reed Rd, Suite 211, Kokomo, IN 46902-3806 2011-01-10
1508171810 Joseph Michael E Yamamoto Family Medicine 3611 S Reed Rd, Ste 214, Kokomo, IN 46902-3806 2010-08-11
1184868176 Board of Trustees of Howard Community Hospital Anesthesiology 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 2009-04-22
1962645861 Heartland Cardiologypc Clinic/Center 3611 S Reed Rd, Suite 106, Kokomo, IN 46902-3828 2009-04-08
1649424946 Board of Trustees of Howard Community Hospital Internal Medicine 3611 S Reed Rd, Suite 211, Kokomo, IN 46902-3828 2008-11-13
1710151816 Board of Trustees of Howard Community Hospital Anesthesiology 3611 S Reed Rd, Suite 103, Kokomo, IN 46902-3828 2008-04-18
1487826483 Board of Trustees of Howard Community Hospital Internal Medicine 3611 S Reed Rd, Suite 212, Kokomo, IN 46902-3828 2008-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699306241 Amber Barney Nurse Practitioner 3611 S Lafountain St, Kokomo, IN 46902 2020-02-03
1215585914 Kenneth Waitt Pharmacist 4026 County Rd E 400 S, Kokomo, IN 46902 2019-08-27
1457906141 With Dignity Too LLC Clinic/Center 1958 West Boulivard, Kokomo, IN 46902 2019-08-08
1649738931 Kc Caregivers, Inc. In Home Supportive Care 4053 S Webster St, Kokomo, IN 46902 2019-03-06
1225514805 Navneet Aulakh Dentist Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 2018-07-17
1285127548 Jeremy Matthew Gibson Case Manager/Care Coordinator 2739 Albright Rd, Kokomo, IN 46902 2018-06-12
1821585175 Kneeded Balance and Tranquility Massage Therapist 3708 S. Lafountain St, Kokomo, IN 46902 2018-04-21
1063812899 Gabriel Valentine Counselor 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 2014-08-28
1588085740 Roni Dinglasa Physical Therapist 2102 Cedar Run Drive, Kokomo, IN 46902 2013-12-13
1063761559 Kimberly R Kuehl Pharmacist 1037 S. Reed Road, Kokomo, IN 46902 2012-08-30
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780882449 Deshini A Moonesinghe Internal Medicine 3500 S Lafountain Street, Kokomo, IN 46902-3803 2007-07-04
1932300241 Arun Agrawal Internal Medicine 3500 S. Lafountain Street, Kokomo, IN 46902-3803 2007-05-31
1245458355 Wagoner Medical Center, LLC Internal Medicine 2016 W Sycamore, Kokomo, IN 46901 2007-04-23
1811061120 Carl Edwin Kuenzli Internal Medicine 3492 Candy Ln, Kokomo, IN 46902-4412 2006-11-20
1073542940 Julie B Tredemeyer Internal Medicine 3611 S Reed Rd Ste 103, Kokomo, IN 46902-3828 2006-07-02
1407817109 James M Scheffler Internal Medicine 2030 W Boulevard, Kokomo, IN 46902-6079 2006-03-31
1912978776 Dustardie D Reed Internal Medicine 3900 Southland Ave, Kokomo, IN 46902 2006-01-30
1891776779 Chris Bahler Internal Medicine 1907 W Sycamore St Fl 3, Kokomo, IN 46901 2005-11-08
1740280015 Baikadi A Ravindra IIi Internal Medicine 3505 S Reed Rd, Kokomo, IN 46902-3838 2005-07-28
1700882701 Gerald Kevin Greer Internal Medicine 2401 Columbus Blvd, Kokomo, IN 46901-6455 2005-06-23
Find all providers in KOKOMO

Competitor

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City KOKOMO
Zip Code 46902

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Dataset Information

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.

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