Jason Robert Brogan, AA
Jason Robert Brogan, AA is an Anesthesiology Assistant in Saint Louis, Missouri. Graduated from Nova Southeastern College of Osteo Medicine in 2019, 7 years ago. Practices with Orthomed Staffing LLC, a 373-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.
- Years since qualifying
- 7
- Trained at
- Nova Southeastern College of Osteo Medicine
- Licensed in
- MO, OK
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
11133 Dunn RdSaint Louis, MO 63136-6163
Phone: (314) 653-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X · Licence 2022030647 (MO) |
|---|---|
| Anesthesiologist Assistant | Taxonomy 367H00000X · Licence 25 (OK) |
Record details
| NPI number | 1356983977 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AA |
| Sole proprietor | No |
| NPI enumerated | October 15, 2019 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 8, 2024 |
| Mailing address | 6551 Park Of Commerce Blvd Fl 33487, Boca Raton, FL 33487-8218 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduated | 2019 (7 years in practice) |
| Group practice | Orthomed Staffing Llc — 373 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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