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NPI · 1124070479 · NPPES-sourced

Dr. John Broviac M.D.

ActiveNephrology Physician
NPI Number
1124070479
Type 1 · Individual
Taxonomy Code
207RN0300X
Contact
(517) 913-4050
License MI · 4301034184
Last Updated
Enumerated
Primary practice addressMI · 48823-6361
2601 Coolidge Rd, Ste BEast Lansing, MI 48823-6361
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About this NPIWhat this record shows.

NPI 1124070479 is registered to Dr. John Broviac M.D., a Nephrology Physician practising at 2601 Coolidge Rd, Ste B in East Lansing, Michigan. Nephrology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. John Broviac M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 0M54760003MI· Issued by MEDICARE PLUS BLUE
  • 1001247MI· Issued by MCLAREN HEALTH PLAN-MEDICAID
  • 1001247MI· Issued by MCLAREN HEALTH ADVANTAGE
  • 5151077MI· Issued by AETNA
  • 1001247MI· Issued by MCLAREN HEALTH PLAN-COMMERCIAL
  • 1103351181MI· Issued by BCBS/BCN
  • 200000001388MI· Issued by PHP
  • 200000001388MI· Issued by PHP FAMILYCARE
  • 110159644MI· Issued by RAILROAD MEDICARE
  • 194055MI· Issued by PHCS

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. John Broviac M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. John Broviac M.D. directly at (517) 913-4050.

Frequently asked

Yes. NPI 1124070479 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Nephrology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (517) 913-4050.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. John Broviac M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207RN0300X
Last updated
Enumerated
StatusActive
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