Dr Peter Bradley Broughton, MD is a
Pediatrics physician based in Joint Base Langley-eustis, Virginia. Dr Peter Bradley Broughton is licensed to practice in Virginia (license number 0101272984) and his current practice location is 77 Nealy Ave, 633d Medical Group, Joint Base Langley-eustis, Virginia. He can be reached at his office (for appointments etc.) via phone at
(937) 607-7205.
NPI number for Dr Peter Bradley Broughton is 1720617558 and his current mailing address is 8901 Wisconsin Ave, 4th Floor, America Bldg, Bethesda, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720617558.
Physician's Profile
| Full Name | Dr Peter Bradley Broughton |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 77 Nealy Ave, Joint Base Langley-eustis, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720617558
- Provider Enumeration Date: 04/03/2020
- Last Update Date: 06/26/2023
Medical Identifiers
Medical identifiers for Dr Peter Bradley Broughton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720617558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 0101272984 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 0101272984 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Bradley Broughton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Peter Bradley Broughton, MD
8901 Wisconsin Ave, 4th Floor, America Bldg,
Bethesda, MD 20889
Ph: (301) 319-5437 | Dr Peter Bradley Broughton, MD
77 Nealy Ave, 633d Medical Group,
Joint Base Langley-eustis, VA 23665-2040
Ph: (937) 607-7205 |
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