Ray E Broggini, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD12192 Issued in HI

Practice address

45-549 Plumeria St
Hamakua Health Center Inc
Honokaa, HI 96727-6902

Phone

(808) 775-7204

Fax

(808) 775-9404

NPI assigned

Dec 28, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Windsor Primary Care Medical Group Inc

  • Family Medicine Physician
  • Windsor, CA
  • NPI 1093785826
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275510653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967430012",
            "telephone_number": "808-775-1051",
            "fax_number": "808-775-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-549 PLUMERIA ST",
            "address_2": "HAMAKUA HEALTH CENTER INC",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-775-7204",
            "fax_number": "808-775-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGGINI",
        "first_name": "RAY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD12192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC",
            "identifier": "121813",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51864901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmund Wah on Akioka, DDS
• Edward David Akioka, DDS
• Isabella Arciniega
• Alea Backus, LMT
• Bridget Apaga Bala-Valdez, APRN-RX
• Mayjell Cy Cabreros, LNP
• Liane Renee Campbell, M.D.
• Toni Caravalho, PA
• Nidhi Anna Chabora, APRN-RX
• Hui Chen

• Emergency Medicine Physician in Honokaa, HI
• Providers in Honokaa, HI by specialty
• Emergency Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.