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

Michael M Brogan, PA

Individual provider Physician Assistant · NPI 1467730101

Michael M Brogan, PA is a Physician Assistant in Cheektowaga, New York. Qualified in 2011, 15 years ago. Practices with Great Lakes Physician PC, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3085 Harlem Rd Ste 200
Cheektowaga, NY 14225-2591
Phone: (716) 855-5600
Fax: (716) 844-5750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014916-1 (NY)

Record details

NPI number1467730101
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 29, 2011
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020
Mailing address3085 Harlem Rd Ste 350, Cheektowaga, NY 14225-2591

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Great Lakes Physician Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cheektowaga