MISS BRANDIE LEE BROGDON LPN
NPI 1104586189
Licensed Practical Nurse in Mullins, SC

Active since December 18, 2021
206 AIRPORT CT, MULLINS, SC 29574(843) 423-8295 Get Directions Write a Review

NPPES record last updated: December 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Brandie Lee Brogdon Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS BRANDIE LEE BROGDON LPN (NPI 1104586189) is an individual licensed practical nurse in Mullins, South Carolina, licensed in South Carolina (P-70040) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1104586189
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS BRANDIE LEE BROGDONCredential: LPN
Location Address206 AIRPORT CTMullins, SC 29574-6196
Mailing Address837 E Sellers RdMarion, SC 29571-6417 · (843) 610-6849
Sole ProprietorYes
Enumeration DateDecember 18, 2021
NPPES CertifiedDecember 18, 2021
NPI 1104586189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in SC · P-70040
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
206 AIRPORT CT, Mullins, SC 29574

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Community Health)
206 AIRPORT CT, SUITE B
MULLINS, SC 29574
Registered Nurse
206 AIRPORT CT, SUITE B
MULLINS, SC 29574
Registered Nurse
206 AIRPORT CT, SUITE B
MULLINS, SC 29574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandie Brogdon's NPI number?

The NPI number for Brandie Brogdon is 1104586189. It was assigned to this individual provider in the NPPES registry on December 18, 2021.

Where is Brandie Brogdon located?

Brandie Brogdon practices at 206 Airport Ct, Mullins, SC 29574. The listed phone number is (843) 423-8295.

What is Brandie Brogdon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brandie Brogdon was last updated on December 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.