Individual provider · Type 1 NPI

Brian Keith Nordgren, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1447361746 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Other practice locations

  • 4645 NW 8th Ave, Gainesville, FL 32605-4687 · (352) 375-1212
  • Medical Center Blvd, Winston Salem, NC 27157-4687 · (336) 716-6674

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-06098 (NC)
Physician Assistant Primary 363A00000XPA9102205 (FL)
Physician Assistant 363A00000X5601005453 (MI)

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 1447361746

Brian Keith Nordgren, PA-C's National Provider Identifier is 1447361746, issued on Aug 31, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 6, 2025.