Active NPIIndividual provider

Brent Cadogan

Physician Assistant in New London, Connecticut

NPI Number1548717978
Practice location
365 Montauk Ave, New London, CT 06320-4700
Fax
—
Last updated
April 26, 2022

Brent Cadogan is a Physician Assistant based in New London, CT. Brent Cadogan practices in New London, CT. The NPI Number for Brent Cadogan is 1548717978 and holds a License No. PA01103 (RI). The current practice location address for Brent Cadogan is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-442-0711.

Provider Profile Details

NPI Number
1548717978
Provider Name
Brent Cadogan
Provider Entity Type
Individual
Gender
Male
Address
365 Montauk Ave, New London, CT 06320-4700
Phone Number
860-442-0711
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2016
Last Update Date
April 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
New London, CT 06320-4700
Zip
06320-4700
Phone Number
860-442-0711
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
11860 Lasselle St
Moreno Valley, CA 92557-6601
City
Moreno Valley
State
CA
Zip
92557-6601

License Information

License Number (1)
PA01103
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
4442
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brent Cadogan?

The NPI number of Brent Cadogan is 1548717978. It was assigned on September 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Brent Cadogan?

Brent Cadogan is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01103.

Where does Brent Cadogan practice?

The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-442-0711 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548717978 directly on the NPPES registry website.

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