Mark G Brogan (NPI# 1013947274, PAC ID# 3870554348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1013947274 |
| PAC ID by PECOS | 3870554348 |
| Professional Enrollment ID | I20041019001103 |
| Full Name | Mark G Brogan |
| Address |
1387 Fairport Rd Suite 520 Fairport NY 14450-2002 |
| Phone Number | 5852349494 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1387 Fairport Rd, Suite 520, Fairport, NY 14450-2002 | 5852349494 |
| Street Address |
1387 FAIRPORT RD SUITE 520 |
| City | FAIRPORT |
| State | NY |
| Zip | 14450-2002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Galbreath | Psychiatry | 1387 Fairport Rd, Suite 580, Fairport, NY 14450-2002 | |
| Khalid Hubeishy | Psychiatry | 1387 Fairport Rd, Suite 660, Fairport, NY 14450-2002 | |
| Ann E Z Griepp | Psychiatry | 1387 Fairport Rd, Suite 650, Fairport, NY 14450-2002 | |
| Thomas E Gift | Psychiatry | 1387 Fairport Rd, Suite 1000d, Fairport, NY 14450-2004 | |
| Alexandra A Wilkosz | Clinical Social Worker | The Healing Connection Inc | 1387 Fairport Rd, Fairport, NY 14450-2004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesley Anne Mack | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Matthew Stoutenburg | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Kellen Richard Rotach | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Rena D Pine | Internal Medicine | St. John's Penfield Homes Corporation | 65 -75 Sonoma Dr, Fairport, NY 14450-1064 |
| Shannon L Oliverio | Nurse Practitioner | St. John's Penfield Homes Corporation | 65 -75 Sonoma Dr, Fairport, NY 14450-1064 |
| Melissa A Pullin | Nurse Practitioner | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | |
| Ralph Saverio Viola | Ophthalmology | 1157 Fairport Rd, Suite 201, Fairport, NY 14450-1237 | |
| Benjamin A Caruso | Chiropractic | 1157 Fairport Rd, Fairport, NY 14450-1237 | |
| Dewey T Jackson | Internal Medicine | 2828 Baird Rd, Fairport, NY 14450-1247 | |
| Joseph G Diprima | Podiatry | 2828 Baird Rd, Suite B, Fairport, NY 14450-1247 | |
| Find all physicians in zip 14450 | |||
| City | FAIRPORT |
| Zip Code | 14450 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FAIRPORT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Mark G Brogan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.