Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124975461 Individual Practitioner

Mackenzie Brogdon

Peer Specialist • Konawa, OK

Professional Overview & Biography Verified Profile Summary

Mackenzie Brogdon is a registered healthcare professional specializing in Peer Specialist in Konawa, OK. Practice services are available at 48657 PROPANE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

48657 Propane Rd

Konawa, OK 748496506

Telephone 5805599283

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Konawa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Konawa, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-15
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 16, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2026

Registered at 48657 PROPANE RD, KONAWA, OK 748496506 (Tel: 5805599283)

📍
Updated Business Mailing Address March 16, 2026

Registered at 48657 PROPANE RD, KONAWA, OK 748496506 (Tel: 5805599283)

👤
Provider Name / Credentials Updated March 16, 2026

Recorded as MACKENZIE BROGDON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2026

Peer Specialist

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Initial NPI Registration & Enumeration March 16, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124975461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2026
Last Update: March 16, 2026
Sole Proprietor: No

Mailing Address

48657 Propane Rd

Konawa, OK 748496506

Phone: 5805599283

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.