Active NPI
Laura Anne Brogoch, M.D.
- Psychosomatic Medicine Physician
- Washington, DC
National Provider Identifier
1548527492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- MD500002925
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 67.45 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD500002925 | DC | MD | Psychosomatic 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.