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

Mr. Roger Magboo Brucal, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1699159806

Mr. Roger Magboo Brucal, AGPCNP-BC is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2014, 12 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
12
Licensed in
DC
In the registry since
2015
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Practice location Address checks out

2150 Pennsylvania Ave NW Ste 6-B
Washington, DC 20037-3201
Phone: (202) 741-3243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN1004515 (DC)

Record details

NPI number1699159806
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedJuly 17, 2015
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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