Brenda Marogil, PA
Internal Medicine in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1669966677
StatusActive
Last updated in NPPESFeb 28, 2022
Details
- NPI
- 1669966677
- Entity type
- Individual (NPI-1)
- Name
- Brenda Marogil
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2018
- Certification date
- Jan 18, 2022
- Last updated
- Feb 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 5601008704 | MI | Yes |
Practice location
1959 E Paris Ave SeGrand Rapids, MI 49546-6272
Phone 616-808-2695
Mailing address
1959 E Paris Ave SeGrand Rapids, MI 49546-6272
Phone 616-808-2695 · Fax 734-246-5750
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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