Individual
DR. ROGER JOEL BROGIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18230 E SILVER CREEK AVE BLDG 392, BUCKLEY AFB, CO 80011-9501
(720) 847-7676
Mailing address
275 S ASPEN ST STOP 90, BUCKLEY AFB, CO 80011-9562
(720) 847-1703
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OP61015230
WA
207Q00000X
Family Medicine Physician
7752
NE
207Q00000X
Family Medicine Physician
Primary
DR.0072183
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7752
NEBRASKA TEMPORARY EDUCATION PERMIT
NE
Enumeration date
06/22/2016
Last updated
07/02/2025
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