Individual provider · Type 1 NPI

Madelyn Brooke Boggs, PA

Physician Assistant · Fort Wayne, IN

NPI number 1124796792 Active

Practice location

11141 Parkview Plaza Dr Ste 320
Fort Wayne, IN 46845-1714

Call (260) 425-5400 Map

Fax (260) 425-5417

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10003440A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124796792

Madelyn Brooke Boggs, PA's National Provider Identifier is 1124796792, issued on Aug 31, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 12, 2025.