DR. GORAN BROKETA MD NPI 1033153374

NPI Information

  • NPI: 1033153374
  • Provider Name: DR. GORAN BROKETA, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 718 SMYTH RD
    MANCHESTER, NH
    ZIP 03104
  • Phone: (603) 624-4366

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NPI Details

DR. Goran Broketa, MD is a hematology and oncology internal medicine in Manchester, NH. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Goran Broketa, MD NPI is 1033153374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

718 SMYTH RD
MANCHESTER, NH
ZIP 03104-007
Phone: (603) 624-4366
Fax: (603) 629-3217

The NPI 1033153374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 11/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyMD060211LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H34869MEDICARE UPIN
202148570MEDICAIDNEW YORK
30018385800001MEDICAIDPENNSYLVANIA
4GU039841OTHERPENNSYLVANIAMEDICARE GROUP
5GU039777OTHERPENNSYLVANIAMEDICARE GROUP
6CC9269OTHERPENNSYLVANIARR MEDICARE GROUP
7047149N82MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
8047149N8HMEDICARE PINPENNSYLVANIA
9830007394OTHERPENNSYLVANIARR MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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