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Individual
DR. ELLEN BRUBECK BROGDEN
Active
Individual
DR. ELLEN BRUBECK BROGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20911
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19284
BCBS
NC
05
—
3406028
—
NC
05
—
8919280
—
NC
Enumeration date
10/20/2006
Last updated
02/23/2026
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