Individual
BRIAN KEITH NORDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06098
NC
363A00000X
Physician Assistant
5601005453
MI
363A00000X
Physician Assistant
Primary
PA9102205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122625600
—
FL
Enumeration date
08/31/2006
Last updated
10/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us