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

Individual provider Rehabilitation Practitioner · NPI 1295348522

Mario Troy Brogdon is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone: (775) 990-9211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1295348522
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 26, 2020
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address1901 S Jones Blvd, Las Vegas, NV 89146-1260

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