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ALBERT JACKSON BROUGHAM
NPI 1447010533
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 19, 2024PECOS Enrolled
2001 W 86TH ST, INDIANAPOLIS, IN 46260(317) 338-6399 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Albert Jackson Brougham NPPES

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

ALBERT JACKSON BROUGHAM (NPI 1447010533) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447010533
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALBERT JACKSON BROUGHAM
Location Address2001 W 86TH STIndianapolis, IN 46260-1902
Mailing Address2001 W 86th StIndianapolis, IN 46260-1902 · (317) 338-6399 · Fax (317) 338-6359
Phone(317) 338-6399
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1447010533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2001 W 86TH ST, Indianapolis, IN 46260
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albert Jackson Brougham 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.

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.

LILY SNYDER
Student in an Organized Health Care Education/Training Program
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 415-8111
JANE GUNSENHOUSER MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 567-2180
GREGORY BAUWENS MD
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 802-3140
DR. JENNIFER RAE BARKER M.D.
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2121
ST. VINCENT
General Acute Care Hospital
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2281
ST. VINCENT HOSPITAL
Student in an Organized Health Care Education/Training Program
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2281
BROOKE KATHERINE GREENE MD
Pediatrics
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815
RACHEL ANN MANKARIOS NP
Nurse Practitioner
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2345

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 Albert Brougham's NPI number?

The NPI number for Albert Brougham is 1447010533. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Albert Brougham located?

Albert Brougham practices at 2001 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 338-6399.

What is Albert Brougham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Albert Brougham enrolled in Medicare?

Yes. Albert Brougham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Albert Brougham was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.