Individual
DONALD R. BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 IRON BRIDGE DR STE 100, COLLEGEVILLE, PA 19426-2042
(484) 622-6340
(484) 622-6357
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD062087L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017431540002
—
PA
01
—
0174315401
AMERICHOICE (UHC MA PLAN)
PA
01
—
0396091000
AMERIHEALTH/INTERCOUNTY
PA
01
—
0858799
AETNA HMO
PA
01
—
10923696
CAQH ID#
PA
01
—
11186981
MULTIPLAN
PA
01
—
1149863
KEYSTONE MERCY
PA
01
—
36156-MD062087L
HEALTH PARTNERS
PA
01
—
370018733
RRM
PA
01
—
509715
PHCS
PA
01
—
5144581
AETNA PPO
PA
01
—
8816093
CIGNA HMO/PPO
PA
01
—
956785
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/03/2006
Last updated
11/23/2021
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