DR. JOHN W. BROVIAC M.D.
NPI 1124070479
Internal Medicine - Nephrology in East Lansing, MI

Q: What is John Broviac's NPI number?

The NPI number for John Broviac is 1124070479. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is John Broviac's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for John Broviac was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.

Active since May 16, 2006PECOS Enrolled

2601 COOLIDGE RD, STE B, EAST LANSING, MI 48823(517) 913-4050(517) 333-0893 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John W. Broviac M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN W. BROVIAC M.D. (NPI 1124070479) is an individual nephrology provider in East Lansing, Michigan, licensed in Michigan (4301034184) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124070479

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JOHN W. BROVIACCredential: M.D.

Location Address2601 COOLIDGE RD, STE BEast Lansing, MI 48823-6361

Mailing Address2601 Coolidge Rd, Ste BEast Lansing, MI 48823-6361 · (517) 913-4050 · Fax (517) 333-0893

Phone(517) 913-4050

Fax(517) 333-0893

Sole ProprietorNo

Enumeration DateMay 16, 2006

Last NPPES UpdateJanuary 13, 2010

✔ NPI 1124070479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MI · 4301034184

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2601 COOLIDGE RD, East Lansing, MI 48823

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Other Identifiers 15

Other1103351181MI · Bcbs/bcn

Other5151077MI · Aetna

Other200000001388MI · Php Familycare

Medicaid3421169MI

Other200000001388MI · Php

Other194055MI · Phcs

Medicare UPINB46099MI

Medicare PINM54760003MI

Other1001247MI · Mclaren Health Plan-medicaid

Medicaid3421187MI

Other0M54760003MI · Medicare Plus Blue

Other1001247MI · Mclaren Health Advantage

Other1001247MI · Mclaren Health Plan-commercial

Other110159644MI · Railroad Medicare

Medicare PINM54770003MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John W. Broviac M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANURAG TIKARIA MD

Internal Medicine (Nephrology)

2601 COOLIDGE RD, SUITE B
EAST LANSING, MI 48823

Ingham County (517) 913-4050

BEENU KAW M.D.

Internal Medicine (Nephrology)

2601 COOLIDGE RD, SUITE B
EAST LANSING, MI 48823

Ingham County (517) 913-4050

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 John Broviac's NPI number?

The NPI number for John Broviac is 1124070479. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is John Broviac located?

John Broviac practices at 2601 Coolidge Rd Ste B, East Lansing, MI 48823. The listed phone number is (517) 913-4050.

What is John Broviac's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is John Broviac enrolled in Medicare?

Yes. John Broviac is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Broviac was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.