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DR. PETER BRADLEY BROUGHTON MD NPI 1720617558


NPI Information

NPI: 1720617558
Provider Name: DR. PETER BRADLEY BROUGHTON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
77 NEALY AVE
633D MEDICAL GROUP
JOINT BASE LANGLEY-EUSTIS, VA
ZIP 23665
Phone: (937) 607-7205
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DR. Peter Bradley Broughton, MD is a pediatrics in Joint Base Langley-eustis, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Peter Bradley Broughton, MD NPI is 1720617558. 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:

77 NEALY AVE
633D MEDICAL GROUP
JOINT BASE LANGLEY-EUSTIS, VA
ZIP 23665-040
Phone: (937) 607-7205

The enumeration date for this NPI number is 4/3/2020 and was last updated on 6/26/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083A0100XPreventive MedicineAerospace Medicine0101272984VIRGINIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3208000000XPediatrics0101272984VIRGINIAYes

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: 4/28/2024

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