Active NPIIndividual provider

Dr. Michael J Broggi Jr., PHD

Clinical Neuropsychologist in Rockport, Maine

NPI Number1740142595
Practice location
220 Union St, Rockport, ME 04856-6104
Fax
—
Last updated
January 28, 2026

Michael Joseph Broggi is a Clinical Neuropsychologist based in Rockport, ME. Michael Joseph Broggi practices in Rockport, ME and has the professional credentials of PHD. The NPI Number for Michael Joseph Broggi is 1740142595 and holds a License No. PS2691 (ME). The current practice location address for Michael Joseph Broggi is 220 Union St, Rockport, ME 04856-6104 and can be reached out via phone at 207-594-2952.

Provider Profile Details

NPI Number
1740142595
Provider Name
Michael Joseph Broggi
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
220 Union St, Rockport, ME 04856-6104
Phone Number
207-594-2952
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2025
Last Update Date
January 28, 2026
Certification Date
January 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Union St
Rockport, ME 04856-6104
State
Maine
Zip
04856-6104
Phone Number
207-594-2952
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
220 Union St
Rockport, ME 04856-6104
City
Rockport
State
ME
Zip
04856-6104
Phone Number
207-594-2952

License Information

License Number (1)
PS2691
License State (1)
ME
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
PS2691
License State (2)
ME
Taxonomy (2)
Clinical Neuropsychologist · 103G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael J Broggi Jr., PHD?

The NPI number of Dr. Michael J Broggi Jr., PHD is 1740142595. It was assigned on December 1, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Broggi Jr., PHD?

Dr. Michael J Broggi Jr., PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in ME under license number PS2691.

Where does Dr. Michael J Broggi Jr., PHD practice?

The practice location is 220 Union St, Rockport, ME 04856-6104. The office can be reached at 207-594-2952 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740142595 directly on the NPPES registry website.

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