DR. MICHAEL BROGAN (NPI# 1982848412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982848412 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BROGAN |
| Practice Address |
640 Jackson Street Mc 41104c St. Paul MN 55101 |
| Mailing Address |
Po Box 1309 8170 33rd Ave S - Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6512547900 |
| Practice Fax Number | 6512547904 |
| Mailing Telephone | 6512547900 |
| Mailing Fax Number | 6512547904 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2015-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
59088 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091594 | Michael Dale Brogan | Internal Medicine | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2005-08-29 |
| 1245796879 | Michael Brogan | Pharmacist | 7975 Blue Diamond Rd, Las Vegas, NV 89178-9298 | 2019-02-19 |
| 1467730101 | Michael M Brogan | Physician Assistant | 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 | 2011-07-29 |
| 1013112929 | Michael S Brogan | Physical Therapist | 2355 Union Rd, Cheektowaga, NY 14227-2234 | 2007-06-19 |
| Street Address |
640 JACKSON STREET MC 41104C |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164082681 | Megan Maureen Elsenheimer | Student in an Organized Health Care Education/Training Program | 640 Jackson Street, St. Paul, MN 55101 | 2019-06-17 |
| 1346612587 | James Nelson | Physician Assistant | 640 Jackson Street, Ms 11102m, St. Paul, MN 55101-2502 | 2015-10-27 |
| 1255749826 | Danielle Arisa Johnson | Physician Assistant | 640 Jackson Street, St. Paul, MN 55101-2502 | 2014-07-28 |
| 1619383684 | Leah C Matheson | Physician Assistant | 640 Jackson Street, Mc 11109e, St. Paul, MN 55101-2502 | 2014-07-10 |
| 1891109989 | Stephani Ann Johnson | Physician Assistant | 640 Jackson Street, Ms11102f, St. Paul, MN 55101 | 2014-06-17 |
| 1285076331 | Olga T. Ahmann | Physician Assistant | 640 Jackson Street, St. Paul, MN 55101-2502 | 2013-07-17 |
| 1225380421 | Oana Dickinson | Internal Medicine | 640 Jackson Street, St. Paul, MN 55101-2502 | 2012-10-11 |
| 1558610873 | Caitlyn M. Squire | Social Worker | 640 Jackson Street, Mail Stop 11101g, St. Paul, MN 55101-2595 | 2012-08-31 |
| 1346500923 | Yonatan Platt | Internal Medicine | 640 Jackson Street, St. Paul, MN 55101-2502 | 2012-05-17 |
| 1649530163 | Daniel John Townsend | Internal Medicine | 640 Jackson Street, St. Paul, MN 55101-2502 | 2012-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851318711 | Bret C Haake | Psychiatry & Neurology | 401 Phalen Blvd - Ms 41104c, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-07-16 |
| 1255454393 | Michael H Rosenbloom | Psychiatry & Neurology | 401 Phalen Blvd - Ms 41104c, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-04-06 |
| 1679681258 | Patricio F Reyes | Psychiatry & Neurology | 401 Phalen Blvd - Ms 41104c, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905251 | Nexus | Psychiatry & Neurology | 2121 Campus Dr Se, Rochester, MN 55904-4744 | 2020-09-02 |
| 1669995528 | Malik Ghannam | Psychiatry & Neurology | 701 15th Ave Se, Minneapolis, MN 55414-4047 | 2017-07-24 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1265790414 | Brian Michael Krasnow | Psychiatry & Neurology | 1746 Hillcrest Avenue, Saint Paul, MN 55116-2151 | 2012-04-25 |
| 1699079533 | Gilbert Westreich | Psychiatry & Neurology | 1779 Emerson Ave South, Minneapolis, MN 55403-2909 | 2011-01-07 |
| 1720233570 | West Central Neurology Pa | Psychiatry & Neurology | 11521 312th Ave, Princeton, MN 55371-3423 | 2008-11-20 |
| 1235388521 | Donald W Klass | Psychiatry & Neurology | 956 14th Ave Sw, Rochester, MN 55902-2078 | 2008-09-11 |
| 1598929267 | Frank Wilson Sharbrough IIi | Psychiatry & Neurology | 814 8th Ave Sw, Rochester, MN 55902-6308 | 2008-07-11 |
| 1881855187 | Kenneth James Shea IIi | Psychiatry & Neurology | 3540 17th Ave S, Saint Cloud, MN 56301-9664 | 2008-06-19 |
| 1275792293 | Ali Emami | Psychiatry & Neurology | 310 Smith Ave N Ste 440, Saint Paul, MN 55102-2316 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
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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.