Individual provider Active NPI

Roger Joel Brogis II, DO

  • Family Medicine Physician
  • Buckley AFB, CO
National Provider Identifier
1598116329
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0072183 Issued in CO
Practice address
18230 E Silver Creek Ave BLDG 392
Buckley AFB, CO 80011-9501
Phone
(720) 847-7676
NPI assigned
Jun 22, 2016
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X OP61015230 WA
Family Medicine Physician 207Q00000X 7752 NE
Family Medicine Physician 207Q00000X DR.0072183 CO Primary

Addresses

Primary practice location

18230 E Silver Creek Ave BLDG 392
Buckley AFB, CO 80011-9501

Mailing address

275 S Aspen St Stop 90
Buckley AFB, CO 80011-9562
Phone (720) 847-1703

Other practice location 1

983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Phone (402) 559-7249

Other practice location 2

701 Hospital Loop
Fairchild AFB, WA 99011-8704
Phone (509) 247-2361

Other identifiers 1

IdentifierTypeStateIssuer
7752OtherNENEBRASKA TEMPORARY EDUCATION PERMIT

Other names 1

  • Dr. RJ Brogis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1818NEMDCounselor
DR.0072183COMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1598116329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S ASPEN ST STOP 90",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "720-847-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 E SILVER CREEK AVE BLDG 392",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800119501",
            "telephone_number": "720-847-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983075 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681983075",
            "country_code": "US",
            "telephone_number": "402-559-7249",
            "fax_number": "402-559-6501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Fairchild AFB",
            "state": "WA",
            "postal_code": "990118704",
            "country_code": "US",
            "telephone_number": "509-247-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROGIS",
        "first_name": "ROGER",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "OP61015230",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7752",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0072183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA TEMPORARY EDUCATION PERMIT",
            "identifier": "7752",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RJ",
            "last_name": "BROGIS",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buckley AFB, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.