Kylie Broughal, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01436 Issued in RI

Practice address

7 Central St
Providence, RI 02907-2201

Phone

(401) 648-4700

NPI assigned

Jul 24, 2018

Last updated

Mar 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Rhode Island Public Health FoundationGroup PAC ID 7810324597, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kylie.broughal.1@20649.direct.athenahealth.com

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.

• The Rhode Island Public Health Foundation

  dba Open Door Health

  • Clinic/Center
  • Providence, RI
  • NPI 1669024329
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1326525270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CENTRAL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072201",
            "telephone_number": "401-648-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CENTRAL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072201",
            "telephone_number": "401-648-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHAL",
        "first_name": "KYLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "022166",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA01436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Brosco, MD
• Cynthia Brosnan, AE
• Shaun Timothy Brothers, PAC
• Todd Brothers, PHARM D.
• Amy Brotherton, PHARM.D.
• Erin Christine Brousseau, MD
• Holli Jean Brousseau, NURSE PRACTITIONER
• Jonathan P Brower, M.D.
• Brown Dermatology, Inc.
• Brown Emergency Medicine

• Medical Physician Assistant in Providence, RI
• Providers in Providence, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.

Verify at the official NPI Registry.