NPI Code Detail JSON Logo

1235937335 NPI number — CAILEY BROGAN

NPI Number: 1235937335
Health Care Provider/Practitioner: CAILEY BROGAN

Information about “1235937335” NPI (CAILEY BROGAN) exists in 1235937335 in HTML format HTML  |  1235937335 in plain Text format TXT  |  1235937335 in PDF (Portable Document Format) PDF  |  1235937335 in an XML format XML  formats.

NPI Number : 1235937335 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235937335",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROGAN",
    "FirstName": "CAILEY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "172 JEROME AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINEOLA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11501-3305",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-626-8899",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "41 MALL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURLINGTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01805-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "781-744-8762",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/04/2025",
    "LastUpdateDate": "05/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208800000X",
        "TaxonomyName": "Urology Physician",
        "LicenseNumber": "3017928",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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