John Broviac, M.D.
NPI 1124070479 · Nephrology Physician · East Lansing, MI
Enrolled with Medicare as Order and Referring Only - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Broviac, M.D. is a Nephrology Physician provider in East Lansing, MI (NPI 1124070479).
Provider details
- NPI number
- 1124070479
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301034184 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2010-01-13
Frequently asked questions
- What is John Broviac's NPI number?
- John Broviac's National Provider Identifier (NPI) is 1124070479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Broviac's specialty?
- John Broviac is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is John Broviac located?
- John Broviac's practice location on file with NPPES is 2601 Coolidge Rd, East Lansing, MI 48823-6361.
- What is John Broviac's phone number?
- The practice phone number listed in the NPPES registry for John Broviac is (517) 913-4050.
- Does John Broviac accept Medicare?
- John Broviac is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Broviac's NPI active?
- Yes — John Broviac's NPI (1124070479) is active in the NPPES registry as of the last update on 2010-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.