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Bernetta E Broughton

Pediatrician Adolescent Medicine

4700 N 51st Ave Ste 4
Phoenix , Arizona 85031-1237

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Bernetta E Broughton

Pediatrician Adolescent Medicine

4700 N 51st Ave Ste 4
Phoenix , Arizona 85031-1237

(623) 247-6386

Write a Review Save Call

Bernetta E Broughton

Pediatrician Adolescent Medicine

4700 N 51st Ave Ste 4
Phoenix , Arizona 85031-1237

(623) 247-6386 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Adolescent Medicine

Languages spoken

  • English

Location

4700 N 51st Ave Ste 4 Phoenix , Arizona 85031-1237

First Address

  • Bernetta E Broughton
  • 4700 N 51st Ave Ste 4
  • Phoenix, AZ
  • Zip : 85031-1237
  • Fax : (623) 247-6386
  • Phone : (623) 846-7575

Second Address

  • Bernetta E Broughton
  • 4700 N 51st Ave Ste 4
  • Phoenix, AZ
  • Zip : 85031-1237
  • Fax : (623) 247-6386
  • Phone : (623) 846-7575

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FAQs


Where did Bernetta E Broughton attend graduate school?

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Where did Bernetta E Broughton do her residency?

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Where did Bernetta E Broughton do her fellowship?

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Is Bernetta E Broughton board certified?

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In what state does Bernetta E Broughton practice in?

Arizona

Where is Bernetta E Broughton ’s practice located?

4700 N 51st Ave Ste 4 , Phoenix, Arizona, 85031-1237

What is Bernetta E Broughton ’s gender?

Female

Is Bernetta E Broughton a sole practitioner?

No

Is Bernetta E Broughton accepting new patients?

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What languages does Bernetta E Broughton speak?

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Does Bernetta E Broughton accept insurance?

Yes, Bernetta E Broughton accepts insurance

Does Bernetta E Broughton offers telemedicine?

Bernetta E Broughton has not indicated if she offers telemedicine

What is Bernetta E Broughton ’s professional license number?

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What is Bernetta E Broughton ’s NPI number?

1235134859

Does Bernetta E Broughton have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208000000X Pediatrician 15087 AZ
N 2080A0000X Adolescent Medicine 15087 AZ

National Provider Identifier

NPI 1235134859
Provider Name Bernetta E Broughton
First Address Phoenix, AZ 85031-1237
Second Address Phoenix, AZ 85031-1237
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 20/06/2005
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1Z8746 HEALTHNET (01) AZ
251794 (05) AZ
770934 UNITED HEALTHCARE (01) AZ
85031A006 TRICARE (01) AZ
AZ0182590 BCBS (01) AZ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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