Individual provider Active NPI

Robert L Broghammer, MD

  • Occupational Medicine Physician
  • Centennial, CO
National Provider Identifier
1760467542
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
54410 Issued in CO
Practice address
14000 E Arapahoe Rd
Ste 160
Centennial, CO 80112-4043
Phone
(303) 218-4250
Fax
(303) 218-4247
NPI assigned
Dec 14, 2005
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 01053271A IN
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 54410 CO
Occupational Medicine Physician 2083X0100X 54410 CO Primary
Occupational Medicine Physician 2083X0100X 18302 IA

Addresses

Primary practice location

14000 E Arapahoe Rd
Ste 160
Centennial, CO 80112-4043

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 357-2559

Other practice location 1

7280 Lagae Rd Ste I
Castle Pines, CO 80108-9454
Phone (720) 638-3405

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 Medicine

State licenses

LicenseStateTypeSpecialty
54410COMDPreventive Medicine/Occupational Environmental Medicine Physician
01053271AINMDPreventive Medicine/Occupational Environmental Medicine Physician
18302IAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1760467542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559",
            "fax_number": "720-638-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 E ARAPAHOE RD",
            "address_2": "STE 160",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124043",
            "telephone_number": "303-218-4250",
            "fax_number": "303-218-4247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7280 Lagae Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Castle Pines",
            "state": "CO",
            "postal_code": "801089454",
            "country_code": "US",
            "telephone_number": "720-638-3405",
            "fax_number": "720-638-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROGHAMMER",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IN",
            "license": "01053271A",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CO",
            "license": "54410",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CO",
            "license": "54410",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IA",
            "license": "18302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.