Individual
BRIAN NEIL BROGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 RUE DE SANTE, SUITE 308, LA PLACE, LA 70068-5424
(985) 652-3500
Mailing address
1514 JEFFERSON HWY, SUITE 308, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD.09757R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06289856
—
MS
05
—
1988707
—
LA
Enumeration date
12/14/2005
Last updated
09/29/2016
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