Basic Information
| Provider Information | |||||||||
| NPI: | 1366885675 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRGOCH | ||||||||
| FirstName: | MORGAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 UNIVERSITY DR | ||||||||
| Address2: | PO BOX 850 | ||||||||
| City: | HERSHEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170332360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175314339 | ||||||||
| FaxNumber: | 7175314339 | ||||||||
| Practice Location | |||||||||
| Address1: | UK SURGERY CLINIC - PLASTIC SURGERY | ||||||||
| Address2: | 740 S LIMESTONE STE E101 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405360284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593238082 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2013 | ||||||||
| LastUpdateDate: | 08/13/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | 54100 | KY | N | Allopathic & Osteopathic Physicians | Plastic Surgery | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2082S0105X | 54100 | KY | Y | Allopathic & Osteopathic Physicians | Plastic Surgery | Surgery of the Hand |
No ID Information.