MRS. BETTINA L BROUGHTON NP NPI 1831401314

NPI Information

  • NPI: 1831401314
  • Provider Name: MRS. BETTINA L BROUGHTON, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2615 CULVER RD
    100
    ROCHESTER, NY
    ZIP 14609
  • Phone: (585) 336-5320

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NPI Details

MRS. Bettina L Broughton, NP is an acute care nurse practitioner in Rochester, NY with 16 years of experience. MRS. Bettina L Broughton, NP NPI is 1831401314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2615 CULVER RD
100
ROCHESTER, NY
ZIP 14609-716
Phone: (585) 336-5320
Fax: (585) 697-1598

The NPI 1831401314 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 7/13/2010 and was last updated on 11/20/2019.

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
1363L00000XNurse PractitionerF430512-1NEW YORKNo
2363LA2100XNurse PractitionerAcute Care430512NEW YORKYes

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
103271890MEDICAIDNEW YORK

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: 11/21/2025

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