DR. MICHAEL JOSEPH BROGGI JR. PHD
NPI 1740142595
Clinical Neuropsychologist in Rockport, ME

Active since December 01, 2025PECOS EnrolledAccepts Medicare Assignment
220 UNION ST, ROCKPORT, ME 04856(207) 594-2952 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2026, Dec 1, 2025 (2 updates tracked since 2025).

About Dr. Michael Joseph Broggi Jr. Phd NPPES

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

DR. MICHAEL JOSEPH BROGGI JR. PHD (NPI 1740142595) is an individual clinical neuropsychologist in Rockport, Maine, licensed in Maine (PS2691) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and maintains a secondary practice location in Rockport.

NPPES Registry Identity

NPI1740142595
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. MICHAEL JOSEPH BROGGI JR.Credential: PHD
Location Address220 UNION STRockport, ME 04856-6104
Mailing Address220 Union StRockport, ME 04856-6104 · (207) 594-2952
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 1, 2025
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1740142595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in ME · PS2691
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License PS2691 (ME)
220 UNION ST, Rockport, ME 04856

Secondary Practice Location 1

Location 14 Glen Cove Dr Ste 201Rockport, ME 04856-4238 · Phone (207) 301-5757 · Fax (207) 301-5357

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Joseph Broggi Jr. Phd 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 ID6406337880
PECOS Enrollment IDI20260224002579, I20260325002046
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Broggi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Neuropsychologist
220 UNION ST
Rockport, ME 04856
  • Reassigned Medicare billing, Maine enrollment
  • 2 clinicians in this Medicare group
General Acute Care Hospital
6 GLEN COVE DR
Rockport, ME 04856
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

Clinical Neuropsychologist
220 UNION ST
ROCKPORT, ME 04856
Clinical Neuropsychologist
220 UNION ST
ROCKPORT, ME 04856
Clinical Neuropsychologist
220 UNION ST
ROCKPORT, ME 04856

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 Michael Broggi's NPI number?

The NPI number for Michael Broggi is 1740142595. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Michael Broggi located?

Michael Broggi practices at 220 Union St, Rockport, ME 04856. The listed phone number is (207) 594-2952.

What is Michael Broggi's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Michael Broggi enrolled in Medicare?

Yes. Michael Broggi 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.

Which organizations bill Medicare for Michael Broggi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Broggi reassigns Medicare benefits to 2 organizations: Neuropsychology And Concussion Management Associates LLC (Rockport, ME) and Mainehealth (Rockport, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Broggi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Broggi accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Michael Broggi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Broggi affiliated with any hospitals?

According to CMS data, Michael Broggi is affiliated with Penobscot Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Broggi was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.