Individual
MR. GREGORY JON BROGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
1860 S SEGUIN AVE, NEW BRAUNFELS, TX 78130-3913
(210) 448-7700
(210) 448-7703
Mailing address
113 PLEASANT VALLEY DR, STE 210, BOERNE, TX 78006-5683
(830) 267-4575
(210) 579-7513
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
663310
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
663310
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-268777
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12297180
CAQH
TX
Enumeration date
12/10/2010
Last updated
05/01/2026
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