Bernetta E Broughton
Pediatrician Adolescent Medicine
4700 N 51st Ave Ste 4
Phoenix
, Arizona 85031-1237
Bernetta E Broughton
Pediatrician Adolescent Medicine
4700 N 51st Ave Ste 4
Phoenix
, Arizona 85031-1237
(623) 247-6386
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
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
Reviews
FAQs
Where did Bernetta E Broughton attend graduate school?
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Is Bernetta E Broughton board certified?
In what state does Bernetta E Broughton practice in?
Where is Bernetta E Broughton ’s practice located?
What is Bernetta E Broughton ’s gender?
Is Bernetta E Broughton a sole practitioner?
Is Bernetta E Broughton accepting new patients?
What languages does Bernetta E Broughton speak?
Does Bernetta E Broughton accept insurance?
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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.