Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brent Cadogan

Individual provider Physician Assistant · NPI 1548717978

Brent Cadogan is a Physician Assistant in New London, Connecticut. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Rhode Island.

Years since qualifying
8
Licensed in
CT, RI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

365 Montauk Ave
New London, CT 06320-4700
Phone: (860) 442-0711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Wells St, Westerly, RI 02891-2922 — (401) 596-8990

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4442 (CT)
Physician Assistant Taxonomy 363A00000X · Licence PA01103 (RI)

Record details

NPI number1548717978
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESApril 26, 2022
Mailing address11860 Lasselle St, Moreno Valley, CA 92557-6601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New London