Peter Bradley Broughton, MD

General Practice Physician · Joint Base Langley-Eustis, VA

Individual Active NPI

NPI number 1720617558

Practice location

77 Nealy Ave
633d Medical Group
Joint Base Langley-Eustis, VA 23665-2040
Phone
(937) 607-7205

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NPI record

NPI
1720617558
Entity type
Individual (Type 1)
Enumeration date
April 3, 2020
Last updated
January 15, 2026
Certified
January 15, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 0101272984 VA
Aerospace Medicine Physician 2083A0100X 0101272984 VA
Pediatrics Physician 208000000X 0101272984 VA

Mailing address

77 Nealy Ave Bldg 257
Hampton, VA 23665-2040
Phone
(757) 764-3716

Other practice locations (1)

  • 8901 Wisconsin Ave, 4th Floor, America Bldg, Bethesda, MD 20889 · (301) 319-5437

About Dr. Broughton

Peter Bradley Broughton, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 77 Nealy Ave, 633d Medical Group, Joint Base Langley-Eustis, VA 23665-2040. The NPI number 1720617558 was assigned on April 3, 2020 and the record was last updated on January 15, 2026.

Dr. Broughton lists 3 licenses in the registry: #0101272984 (VA) for General Practice Physician; #0101272984 (VA) for Aerospace Medicine Physician; #0101272984 (VA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Bradley Broughton, MD?

The NPI number is 1720617558.

What is the phone number of Dr. Broughton?

The phone number listed for the practice location is (937) 607-7205.

Where is Dr. Broughton located?

77 Nealy Ave, 633d Medical Group, Joint Base Langley-Eustis, VA 23665-2040.

What is the taxonomy code for Dr. Broughton?

The primary taxonomy code is 208D00000X – General Practice Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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