Active NPI
Lauren Brogis, M.D.
- Emergency Medicine Physician
- Moscow, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M-14963
- Practice address
- 700 S Main St
Moscow, ID 83843-3046 - Phone
- (208) 882-4511
- NPI assigned
- Jun 27, 2016
- Last updated
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M-14963 | ID | Primary |
Addresses
Primary practice location
700 S Main St
Moscow, ID 83843-3046
Mailing address
700 S Main St
Moscow, ID 83843-3046
Phone (208) 882-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Nebraska College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (720) 652-8850
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 607 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7799 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Colorado-Professional, LLC | Current | Accepting new patients | |
| Healogics Specialty Physicians of Colorado-Professional, LLC | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Unmc | Past | Accepting new patients |
Locations
1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000
1950 Mountain View Ave
Ste 4
Longmont, CO 80501
9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Parker, CO
- NPI 1114331006
-
dba Pullman Regional Hospital
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lakewood, CO
- NPI 1114559572
-
dba Pullman Regional Hospital
- Family Medicine Physician
- Pullman, WA
- NPI 1881475051
-
dba Pullman Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1962625772
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1366465866
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1154876985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1003267493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S MAIN ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433046",
"telephone_number": "208-882-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S MAIN ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433046",
"telephone_number": "208-882-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGIS",
"first_name": "LAUREN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-14963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.