Broughton, Peter Bradley

Broughton, Peter Bradley is an individual health care provider with primary practice located at 77 Nealy Ave 633D Medical Group, Joint Base Langley-Eustis VA 23665-2040. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Broughton, Peter Bradley can be contacted via phone (937) 607-7205.

Contact Information

Primary practice address
77 Nealy Ave 633D Medical Group Joint Base Langley-Eustis VA 23665-2040
Phone: (937) 607-7205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 0101272984 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101272984 Virginia

Profile Details

NPI number 1720617558
LBN Legal business name Broughton, Peter Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2020
Last updated Jun 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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