KYLIE BROUGHAL PA
NPI 1326525270
Physician Assistant - Medical in Providence, RI

Active since July 24, 2018PECOS EnrolledAccepts Medicare Assignment
7 CENTRAL ST, PROVIDENCE, RI 02907(401) 648-4700 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Jul 24, 2018 (2 updates tracked since 2018).

About Kylie Broughal Pa NPPES

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

KYLIE BROUGHAL PA (NPI 1326525270) is an individual medical provider in Providence, Rhode Island, licensed in Rhode Island (PA01436) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1326525270
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKYLIE BROUGHALCredential: PA
Location Address7 CENTRAL STProvidence, RI 02907-2201
Mailing Address7 Central StProvidence, RI 02907-2201 · (401) 648-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 24, 2018
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1326525270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in RI · PA01436 Licensed in NY · 022166
7 CENTRAL ST, Providence, RI 02907

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kylie Broughal Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507119336
PECOS Enrollment IDI20250402002975
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.

Other Providers at the Same Location NPPES 14

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

Family Medicine
7 CENTRAL ST
PROVIDENCE, RI 02907
Counselor (Mental Health)
7 CENTRAL ST
PROVIDENCE, RI 02907
Community Health Worker
7 CENTRAL ST
PROVIDENCE, RI 02907
Internal Medicine
7 CENTRAL ST
PROVIDENCE, RI 02907
Physician Assistant
7 CENTRAL ST
PROVIDENCE, RI 02907
Internal Medicine
7 CENTRAL ST
PROVIDENCE, RI 02907
Internal Medicine
7 CENTRAL ST
PROVIDENCE, RI 02907
Psychologist (Clinical)
7 CENTRAL ST
PROVIDENCE, RI 02907

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 Kylie Broughal's NPI number?

The NPI number for Kylie Broughal is 1326525270. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Kylie Broughal located?

Kylie Broughal practices at 7 Central St, Providence, RI 02907. The listed phone number is (401) 648-4700.

What is Kylie Broughal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kylie Broughal enrolled in Medicare?

Yes. Kylie Broughal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kylie Broughal was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.