Individual provider Active NPI

Laura Anne Brogoch, M.D.

  • Psychosomatic Medicine Physician
  • Washington, DC
National Provider Identifier
1548527492
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
MD500002925 Issued in DC
Practice address
2401 E St NW
Sa-1 Suite L209, Bureau of Medical Services
Washington, DC 20522
Phone
(415) 225-0319
NPI assigned
Apr 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD172067 OR
Psychosomatic Medicine Physician 2084P0015X MD500002925 DC Primary

Addresses

Primary practice location

2401 E St NW
Sa-1 Suite L209, Bureau of Medical Services
Washington, DC 20522

Mailing address

2401 E St NW
Sa-1 Ste L209 Bureau of Medical Services, US Dos
Washington, DC 20522
Phone (415) 225-0319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.45 of 100Reported as group
Quality
12.33
Promoting interoperability
100
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD500002925DCMDPsychosomatic Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1548527492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E ST NW",
            "address_2": "SA-1 STE L209 BUREAU OF MEDICAL SERVICES, US DOS",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20522",
            "telephone_number": "415-225-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E ST NW",
            "address_2": "SA-1 SUITE L209, BUREAU OF MEDICAL SERVICES",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20522",
            "telephone_number": "415-225-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGOCH",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD172067",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "DC",
            "license": "MD500002925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.