JILL BROGHAMMER DO
NPI 1003669599
Emergency Medicine in Avon, IN
About Jill Broghammer Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL BROGHAMMER DO (NPI 1003669599) is an individual emergency medicine provider in Avon, Indiana, licensed in Indiana (02008569A) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jill Broghammer Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AVON, IN 46123
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jill Broghammer's NPI number?
The NPI number for Jill Broghammer is 1003669599. It was assigned to this individual provider in the NPPES registry on April 8, 2024.
Where is Jill Broghammer located?
Jill Broghammer practices at 1111 Ronald Reagan Pkwy, Avon, IN 46123. The listed phone number is (317) 217-3000.
What is Jill Broghammer's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jill Broghammer enrolled in Medicare?
Yes. Jill Broghammer is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jill Broghammer was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jill Broghammer, DO · NPI 1003669599
Emergency Medicine physician in Avon, Indiana. Individual provider, active in the CMS NPPES registry since April 8, 2024.
## Identity
- **NPI:** 1003669599 (Entity type: Individual)
- **Enumerated:** April 8, 2024
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 02008569A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 RONALD REAGAN PKWY, Avon, IN 46123-7085
- **Phone:** (317) 217-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2024
## Record status
- **NPPES last updated:** July 22, 2026
- **Other identifiers:** Medicaid 300091273 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1003669599) · Data from the CMS NPPES public registry.