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NPI Code Detail

MEDICARE: DR. BRADY SCOTT HOGAN MD

MEDICARE: DR. BRADY SCOTT HOGAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1124979117
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADY SCOTT HOGAN MD
Provider Business Mailing Address
First Line : 9201 E MISSISSIPPI AVE APT L206
Second Line :
City : DENVER
State : CO
Zip : 80247-6823
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9201 E MISSISSIPPI AVE APT L206
Second Line :
City : DENVER
State : CO
Zip : 80247-6823
Country : US
Telephone Number : 970-481-0293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ DR. BRADY SCOTT HOGAN MD” Practice Location

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