Bonnie Lynn Brogdon (NPI# 1720445943, PAC ID# 3870898141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720445943 |
| PAC ID by PECOS | 3870898141 |
| Professional Enrollment ID | I20160224001417 |
| Full Name | Bonnie Lynn Brogdon |
| Organization Legal Name | MY CHOICE HOUSECALLS LLC |
| Address |
13927 Shipwreck Cir N Jacksonville FL 32224-1121 |
| Phone Number | 9047109719 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628388246 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 | 9047109719 | MY CHOICE HOUSECALLS LLC |
| Organization Legal Name | MY CHOICE HOUSECALLS LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monet Jeniece Scott | Nurse Practitioner | My Choice Housecalls LLC | 4319 Salisbury Rd, Suite 103, Jacksonville, FL 32216-0941 |
| Alethea B Brown | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Regina I Washington | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Joseph C Holley | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Michael Joseph Conigliaro | Nurse Practitioner | My Choice Housecalls LLC | 4319 Salisbury Rd, Suite 103, Jacksonville, FL 32216-0941 |
| Donna J Cothren | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Imeejean Lacerna Mcgrath | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Teresa R Ellsworth | Clinical Social Worker | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Khathaliya Laman | Nurse Practitioner | My Choice Housecalls LLC | 4319 Salisbury Rd, Suite 103, Jacksonville, FL 32216-0941 |
| Rachel Robinson Pellum | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Street Address |
13927 SHIPWRECK CIR N |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32224-1121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina I Washington | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Donna J Cothren | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Imeejean Lacerna Mcgrath | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Teresa R Ellsworth | Clinical Social Worker | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Rachel Robinson Pellum | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Jason Matthew Runyan | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Julie Tutak Maly | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Rachel Ablavi Noameshie | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Adam M Paulson | Physician Assistant | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Martha L Mangus | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel A Black | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
| Jason Manuel | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
| Randi Most | Psychologist, Clinical | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 | |
| John R Moreland | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
| Eileen Krimsky | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
| Robert Stephen Woodward | Occupational Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Amy Oliver | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Laurie Scheer Berger | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Nancy Kysela | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Mariane Pistelli Ferreira | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Find all physicians in zip 32224 | |||
| City | JACKSONVILLE |
| Zip Code | 32224 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bonnie Lynn Brogdon.
| 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.