Robert Arthur Brogan, MD
Individual provider Active NPI Pediatric Adolescent Medicine Physician · East Greenwich, RI
NPI 1639260656 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1639260656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- 03183 (RI)
- Practice address
- 27 Division St
East Greenwich, RI 02818-3872 - Phone
- (401) 884-2150
- Fax
- (401) 884-1750
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03183 | RI | MD | Pediatric Adolescent Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 03183 | RI | Yes |
Addresses
Primary practice location
27 Division St
East Greenwich, RI 02818-3872
Mailing address
27 Division St
East Greenwich, RI 02818-3872
Phone (401) 884-2150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010 | Medicaid | RI | |
| 000340 | Other | RI | BLUE CHIP OF RHODE ISLAND |
| 3747 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 1200100 | Other | RI | UNITED HEALTH PLAN |
| 406-494 | Other | RI | TUFTS HEALTH PLAN |
| 148-1 | Other | RI | BLUE CROSS OF RHODE ISLAN |
Other providers in East Greenwich, RI
- Adriana Brayman
- Breiding Chiropractic Clinics
- Mark Breiding
- Herbert J Brennan
- Brian G Kwetkowski
- Maia Leigh Brown
- Steven A Brown
- David J Broza
- Lindsay Bryden
- Maggie Elizabeth Buell
All providers in East Greenwich, RI · Pediatric Adolescent Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.