Active NPI
Robert Arthur Brogan, MD
- Pediatric Adolescent Medicine Physician
- East Greenwich, RI
National Provider Identifier
1639260656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 03183
- Practice address
- 27 Division St
East Greenwich, RI 02818-3872 - Phone
- (401) 884-2150
- Fax
- (401) 884-1750
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 03183 | RI | Primary |
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 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010 | Medicaid | RI | |
| 000340 | Other | RI | BLUE CHIP OF RHODE ISLAND |
| 406-494 | Other | RI | TUFTS HEALTH PLAN |
| 3747 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 148-1 | Other | RI | BLUE CROSS OF RHODE ISLAN |
| 1200100 | Other | RI | UNITED HEALTH PLAN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03183 | RI | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639260656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 DIVISION ST",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183872",
"telephone_number": "401-884-2150",
"fax_number": "401-884-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 DIVISION ST",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183872",
"telephone_number": "401-884-2150",
"fax_number": "401-884-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "ROBERT",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "RI",
"license": "03183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00010",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP OF RHODE ISLAND",
"identifier": "000340",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "406-494",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "3747",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF RHODE ISLAN",
"identifier": "148-1",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "1200100",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.