Individual provider Active NPI

Lauren Brogis, M.D.

  • Emergency Medicine Physician
  • Moscow, ID
National Provider Identifier
1003267493
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M-14963 Issued in ID
Practice address
700 S Main St
Moscow, ID 83843-3046
Phone
(208) 882-4511
NPI assigned
Jun 27, 2016
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221215001636 WA Practitioner - Emergency Medicine 5496040560 Reassigns benefits to 2 organizations
I20240424003787 CO Practitioner - Emergency Medicine 5496040560 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7799NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Apr 1, 2024 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Apr 1, 2024 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Nov 8, 2022 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Nov 8, 2022 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.