Laurie S Broghammer, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

729 Issued in MN

Practice address

859 Mankato Avenue
Winona, MN 55987

Phone

(507) 454-3680

Fax

(507) 457-7672

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Great Lakes Podiatry PLLC

  • Podiatrist
  • Escanaba, MI
  • NPI 1225079932
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891705505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 MANKATO AVENUE",
            "address_2": "WINONA CLINIC LTD",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "55987",
            "telephone_number": "507-454-3680",
            "fax_number": "507-457-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 MANKATO AVENUE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "55987",
            "telephone_number": "507-454-3680",
            "fax_number": "507-457-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGHAMMER",
        "first_name": "LAURIE",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Patricia Brakenridge, M.A.
• Kaydi Catherine Breeser, PA
• Renee Kathryn Brenengen, R.PH.
• Angelique Suzanne Brewer-Ottan, MS, LPC, NCC
• Sydney Brezany
• Matthew J Broghammer, DO
• Madison Yvonne Brokaw
• Mark C Bronson, MS LICSW
• Brookdale Senior Living Communities, Inc. (Sterling House of Winona)
• Dylan R Brosnan

• Podiatrist in Winona, MN
• Providers in Winona, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.