MACKENZIE BROGDON
NPI 1124975461
Peer Specialist in Konawa, OK

Active since March 16, 2026
48657 PROPANE RD, KONAWA, OK 74849(580) 559-9283 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Brogdon NPPES

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

MACKENZIE BROGDON (NPI 1124975461) is an individual peer specialist in Konawa, Oklahoma and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1124975461
Entity TypeIndividual
Primary Taxonomy175T00000X
Provider Legal NameMACKENZIE BROGDON
Location Address48657 PROPANE RDKonawa, OK 74849-6506
Mailing Address48657 Propane RdKonawa, OK 74849-6506 · (580) 559-9283
Sole ProprietorNo
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 15, 2026
NPI 1124975461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
48657 PROPANE RD, Konawa, OK 74849

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 Mackenzie Brogdon's NPI number?

The NPI number for Mackenzie Brogdon is 1124975461. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Mackenzie Brogdon located?

Mackenzie Brogdon practices at 48657 Propane Rd, Konawa, OK 74849. The listed phone number is (580) 559-9283.

What is Mackenzie Brogdon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Brogdon was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.