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

Q: 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.

Q: What is Michael Broggi's specialty?

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

Q: 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 6 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.

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: August 09, 2026.

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

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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, maintains a secondary practice location in Rockport, and is a graduate of Other (2023).

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

Phone(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

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Secondary Practice Location 1

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

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

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 IDI20260325002046

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 3

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

REBECCA GLEESON

Clinical Neuropsychologist

220 UNION ST
ROCKPORT, ME 04856

Knox County (207) 594-2952

NEUROPSYCHOLOGY AND CONCUSSION MANAGEMENT ASSOCIATES LLC

Clinical Neuropsychologist

220 UNION ST
ROCKPORT, ME 04856

Knox County (207) 594-2952

DR. KENDRA L BRYANT PH.D., ABPP-CN

Clinical Neuropsychologist

220 UNION ST
ROCKPORT, ME 04856

Knox County (207) 594-2952

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.

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 6 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.