BROOKE BOGGS LLC
NPI 1396300562
Clinic/Center - Primary Care in Grand Island, NE

Q: What is Brooke Boggs LLC's NPI number?

The NPI number for Brooke Boggs LLC is 1396300562. It was assigned to this organization in the NPPES registry on May 3, 2019.

Q: What is Brooke Boggs LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Boggs LLC was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 03, 2019

403 LEXINGTON CIR, GRAND ISLAND, NE 68803(308) 227-6119(308) 888-0018 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2020, May 3, 2019 (2 updates tracked since 2019).

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About Brooke Boggs Llc NPPES

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

BROOKE BOGGS LLC (NPI 1396300562) is a healthcare organization registered as a primary care in Grand Island, Nebraska and active in the NPI registry since May 2019. The organization lists Brooke Nicole Boggs, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1396300562

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameBROOKE BOGGS LLC

Location Address403 LEXINGTON CIRGrand Island, NE 68803-9728

Mailing Address403 Lexington CirGrand Island, NE 68803-9728 · (308) 227-6119 · Fax (308) 888-0018

Phone(308) 227-6119

Fax(308) 888-0018

Organization SubpartNo

Authorized OfficialBrooke Nicole BoggsOwner/provider · (308) 530-6569

Enumeration DateMay 3, 2019

Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1396300562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

403 LEXINGTON CIR, Grand Island, NE 68803

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Other Identifiers 1

Medicaid50511752800NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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Other Providers at the Same Location NPPES 15

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

PRAVARDHAN RAJASHEKAR BIRTHI M.D.

Pain Medicine (Interventional Pain Medicine)