Individual provider · Type 1 NPI
Nicole Brogan
Medical Physician Assistant · Washington, DC
NPI number
1245017763
Active
Practice location
900 23rd St NW
Washington, DC 20037-2342
Mailing address
2120 L St NW Ste 450
Washington, DC 20037-1541
Other practice locations
- 8901 Wisconsin Ave, Bethesda, MD 20889-1541 · (301) 295-4810
- 50 Irving St NW, Washington, DC 20422-1541 · (202) 745-8000
- 2120 L St NW Ste 450, Washington, DC 20037-1541 · (202) 677-6720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | PA200002075 (DC) |
Medical Physician Assistant: Definition to come...
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About NPI 1245017763
Nicole Brogan's National Provider Identifier is 1245017763, issued on Sep 8, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Apr 2, 2026.