Dr Peter Bradley Broughton, MD in Joint Base Langley-eustis, VA - Pediatrics

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.

Contact Information

	Dr Peter Bradley Broughton, MD
	77 Nealy Ave, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040
	(937) 607-7205
	Not Available

Physician's Profile

Full Name	Dr Peter Bradley Broughton
Gender	Male
Speciality	Pediatrics
Location	77 Nealy Ave, Joint Base Langley-eustis, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

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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Pediatrics Doctors in Joint Base Langley-eustis, VA

Dr. Dominic Anthony Defrancis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Joint Base Langley-eustis, VA 23665 Phone: 757-225-6611
Dr. Sean Lee Murphy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665 Phone: 757-225-7630

Dr Peter Bradley Broughton, MD - Pediatrics in Joint Base Langley-eustis, VA