Bernetta E Broughton
M.D. | Pediatric Adolescent Medicine | Female
Bernetta E Broughton, M.D. is a Phoenix, Arizona based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Bernetta E Broughton is
4700 N 51st Ave, Ste 4, Phoenix, Arizona - 85031-1237. She can be contacted on phone at
623-846-7575 and fax number 623-247-6386.
Bernetta E Broughton is a sole proprietor of her business.
NPI number (Unique professional ID) for Bernetta E Broughton is
1235134859 which was assigned by NPPES on 20 Jun, 2005 and it was last updated on 08 Jul, 2007.
Bernetta E Broughton specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Bernetta E Broughton basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Bernetta E Broughton |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Bernetta E Broughton address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4700 N 51st Ave, Ste 4
Phoenix, AZ, 85031-1237
United States |
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| Phone Number : | 623-846-7575 |
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| Fax Number : | 623-247-6386 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235134859 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jun, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bernetta E Broughton are as mentioned. Primary taxonomy code for Bernetta E Broughton, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | No | 15087 | AZ |
| 208000000X | Pediatrics | No | 15087 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Bernetta E Broughton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 85031A006 | Other | AZ | TRICARE |
| 1Z8746 | Other | AZ | HEALTHNET |
| 770934 | Other | AZ | UNITED HEALTHCARE |
| AZ0182590 | Other | AZ | BCBS |
| 251794 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4700 N 51st Ave, Ste 4
Phoenix, AZ, 85031-1237
United States |
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| Phone Number : | 623-846-7575 |
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| Fax Number : | 623-247-6386 |
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Business Location:
Patients can refer following map for directions to
Bernetta E Broughton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.