LAUREN BROGDON (CCC-SLP) – Speech-Language Pathologist, NPI 1407321730

LAUREN BROGDON (CCC-SLP) is a healthcare provider. based in Virginia beach, Virginia. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. They hold a License No. SL017633 (PA). The NPI Number for LAUREN BROGDON (CCC-SLP) is 1407321730

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN BROGDON (CCC-SLP)
NPI
1407321730
Phone
(757) 496-1785
Address
3100 SHORE DR
Enumeration Date
13 October 2018
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6102698400
Graduation Year
2017 (9 years ago)
PAC ID
3375032014
Group Practice PAC ID
9335513019
Professional Enrollment ID
I20251031001277
Address ID
PA193355301DO101XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

244 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in VA

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Provider Addresses for LAUREN BROGDON (CCC-SLP)

  • 3100, Shore Drive, Lynnhaven Shores, Virginia Beach, Virginia, 23451, United States

    VIRGINIA BEACH, VA 234511199

    Phone: (757) 496-1785

    Type: Location

  • 150 MONUMENT RD STE 202

    BALA CYNWYD, PA 190041725

    Phone: (610) 269-8400

    Fax: (610) 269-6095

    Type: Mailing

  • 101 PLAZA DR

    DOWNINGTOWN, PA 193355301

    Phone: (610) 269-8400

    Fax: (610) 269-6095

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251031001277IQualified Speech Language PathologistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23451)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335513019View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Can I cross-check LAUREN BROGDON (CCC-SLP) using NPI 1407321730?
NPI 1407321730 belongs to LAUREN BROGDON (CCC-SLP); compare other details if you need extra assurance.
Is LAUREN BROGDON (CCC-SLP) shown as active in public data?
Registry records indicate LAUREN BROGDON (CCC-SLP) maintains an active NPI.
What clinical focus is listed for LAUREN BROGDON (CCC-SLP)?
At a glance, LAUREN BROGDON (CCC-SLP) is tied to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is LAUREN BROGDON (CCC-SLP) associated with Virginia Beach?
Public fields place LAUREN BROGDON (CCC-SLP) around Virginia Beach, Virginia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LAUREN BROGDON (CCC-SLP) is noted as October 13, 2018 where the registry provides it.

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