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PEARL ELIZABETH BROGDON
NPI 1669155164
Licensed Practical Nurse in Philadelphia, PA

Active since August 10, 2023
1745 N 4TH ST, PHILADELPHIA, PA 19122(215) 236-0100(215) 236-7601 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pearl Elizabeth Brogdon NPPES

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

PEARL ELIZABETH BROGDON (NPI 1669155164) is an individual licensed practical nurse in Philadelphia, Pennsylvania, licensed in Pennsylvania (PN080543L) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1669155164
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePEARL ELIZABETH BROGDON
Location Address1745 N 4TH STPhiladelphia, PA 19122-3008
Mailing Address1745 N 4th StPhiladelphia, PA 19122-3008 · (215) 236-0100 · Fax (215) 236-7601
Phone(215) 236-0100
Fax(215) 236-7601
Sole ProprietorYes
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1669155164 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 PA · PN080543L
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.
1745 N 4TH ST, Philadelphia, PA 19122
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Other Providers at the Same Location NPPES 10

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

SAFIYA MOBLEY
Behavior Analyst
1745 N 4TH ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 236-0100
ERICA MCDADE
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 236-0100
MERAKEY PARKSIDE RECOVERY
Community/Behavioral Health
1745 N 4TH ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 836-3131
CADESHA COREEN BALLARD
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 236-0100
SHONDA R GASKIN
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 236-1000
DR. TRUSANDRA ELAINE TAYLOR M.D.
Internal Medicine (Addiction Medicine)
1745 N 4TH ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 236-0100
MS. DAWN M LONEY LPN
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 236-0100
KHADEJAH KELLOGG
Student in an Organized Health Care Education/Training Program
1745 N 4TH ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 236-0100

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 Pearl Brogdon's NPI number?

The NPI number for Pearl Brogdon is 1669155164. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Pearl Brogdon located?

Pearl Brogdon practices at 1745 N 4th St, Philadelphia, PA 19122. The listed phone number is (215) 236-0100.

What is Pearl 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 Pearl Brogdon was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.