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BONNIE LYNN BROGDON PA-C
NPI 1720445943
Physician Assistant in Jacksonville, FL

Active since January 19, 2016PECOS Enrolled
3599 UNIVERSITY BLVD S, BLDG 300, JACKSONVILLE, FL 32216(904) 399-5550 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonnie Lynn Brogdon Pa-c NPPES

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

BONNIE LYNN BROGDON PA-C (NPI 1720445943) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9109046) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720445943
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBONNIE LYNN BROGDONCredential: PA-C
Location Address3599 UNIVERSITY BLVD S, BLDG 300Jacksonville, FL 32216-4252
Mailing Address3599 University Blvd S, Bldg 300Jacksonville, FL 32216-4252 · (904) 399-5550
Phone(904) 399-5550
Sole ProprietorNo
Enumeration DateJanuary 19, 2016
✔ NPI 1720445943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9109046
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3599 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonnie Lynn Brogdon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MARQUAN CROMARTIE
Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-7600
MRS. SASHA BROOKE THORNTON ARNP
Nurse Practitioner (Family)
3599 UNIVERSITY BLVD S, STE. 504
JACKSONVILLE, FL 32216
Duval County (904) 264-7132
SETH MICHAEL STAFFORD PT, DPT
Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-6812
FRANK WILLIAM SANCHEZ MD
Radiology (Diagnostic Radiology)
3599 UNIVERSITY BLVD S, BUILDING 300
JACKSONVILLE, FL 32216
Duval County (904) 399-5550
DR. BRIAN W COOPER M.D.
Internal Medicine (Infectious Disease)
3599 UNIVERSITY BLVD S, BLDG. 500, STE. 504
JACKSONVILLE, FL 32216
Duval County (904) 398-5614
DR. EDUARDO OYOLA TORRES MD
Radiology (Diagnostic Radiology)
3599 UNIVERSITY BLVD S, BLDG 300
JACKSONVILLE, FL 32216
Duval County (904) 399-5550
TOMMY C YU MD
Physical Medicine & Rehabilitation
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-7776
MEGAN MARGARETT RAMIREZ
Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-6812

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 Bonnie Brogdon's NPI number?

The NPI number for Bonnie Brogdon is 1720445943. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Bonnie Brogdon located?

Bonnie Brogdon practices at 3599 University Blvd S Bldg 300, Jacksonville, FL 32216. The listed phone number is (904) 399-5550.

What is Bonnie Brogdon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bonnie Brogdon enrolled in Medicare?

Yes. Bonnie Brogdon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bonnie Brogdon was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.