NPIMap

Individual provider Active NPI

David E Brougher, M.D.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1740260199
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01036960A Issued in IN
Practice address
1231 Washington Square
Evansville, IN 41175
Phone
(812) 479-6907
Fax
(812) 479-6967
NPI assigned
Jan 20, 2006
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01036960A IN Primary

Addresses

Primary practice location

1231 Washington Square
Evansville, IN 41175

Mailing address

1231 Washington Square
Evansville, IN 41175
Phone (812) 479-6907

Other identifiers 2

IdentifierTypeStateIssuer
000000519145OtherINANTHEM BC/BS
100375500MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000304 IN Practitioner - General Practice 2860599347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Primary Care LLCGroup PAC ID 7416965199, 6 clinicians

Practice addresses (Care Compare)

4933 E Plaza E Blvd
Evansville, IN 47715-2813
Phone (812) 479-6907

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.17 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
78.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Primary Care LLC Family Medicine CurrentSince Sep 3, 2002 Accepting new patients
Martin County Urgent Care LLC PastSince Aug 13, 2023 Accepting new patients

Locations

1231 Washington Sq
Evansville, IN 47715
Phone (812) 479-6907

4933 E Plaza East Blvd
Evansville, IN 47715
Phone (812) 401-8720

Interoperability endpoints

  • Direct secure messaging: dbrougher32423@direct.deaconess.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1740260199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 WASHINGTON SQUARE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "41175",
            "telephone_number": "812-479-6907",
            "fax_number": "812-479-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 WASHINGTON SQUARE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "41175",
            "telephone_number": "812-479-6907",
            "fax_number": "812-479-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHER",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036960A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000519145",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100375500",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.