DR. RAYMOND NMN BROUGHTON (NPI# 1790734788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790734788 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND NMN BROUGHTON |
| Credential | MD |
| Practice Address |
12701 Padgett Switch Rd Irvington AL 36544-4011 |
| Mailing Address |
Po Box 769 Bayou La Batre AL 36509-0769 |
| Practice Telephone | 2518242174 |
| Practice Fax Number | 2518243444 |
| Mailing Telephone | 2518242174 |
| Mailing Fax Number | 2518242286 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 12358 | AL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD.12358 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 107424 | 05 | |
| AL | 631500002 | 05 | |
| AL | 107422 | 05 | |
| AL | TRICARE SOUTH | 1790734788 | 01 |
| AL | 510-47527 | 05 | |
| AL | BCBS | 510-47528 | 01 |
| Street Address |
12701 PADGETT SWITCH RD |
| City | IRVINGTON |
| State | AL |
| Zip Code | 36544-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| 1396360103 | Melissa Sprinkle | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2020-06-08 |
| 1427671528 | Catherine Thompson | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544 | 2020-05-22 |
| 1275090300 | Michael A Pickert | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2019-02-25 |
| 1235613456 | Traci Leavines | Registered Nurse | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2018-09-24 |
| 1972081818 | Lisa Weber | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2018-08-02 |
| 1558871046 | James Raymond Chinners | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2017-10-10 |
| 1003363201 | Shelley Charmaine Day | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2016-09-06 |
| 1821495920 | Kendra Marie Jones | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2014-12-04 |
| 1104222983 | Alefyah Taqui | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801937057 | Cheryl Berg Horn | Speech-Language Pathologist | 9780 Cornelius Rd., Irvington, AL 36544-0675 | 2007-02-09 |
| 1326384306 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-20 |
| 1730425547 | Portable Medical Diagnostics LLC | Physiological Laboratory | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-26 |
| 1376894659 | South Mobile County Home Health Services Inc. | Case Management | 9161 Saint Elmo Cir S, Irvington, AL 36544-2921 | 2012-09-26 |
| 1740333236 | House of Philadelphia, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8571 Three Mile Rd, Irvington, AL 36544-3301 | 2007-01-19 |
| 1558683409 | South Alabama Leisure Rehabilitation Recreation Center Inc | Day Training, Developmentally Disabled Services | 8571 Three Mile Rd, Lot 4, Irvington, AL 36544-3301 | 2010-02-19 |
| 1902926884 | W.i.n.n.e.r.s., Inc | Substance Abuse Rehabilitation Facility | 8800 Three Mile Rd, Irvington, AL 36544-3334 | 2007-04-02 |
| 1952532566 | Wilsania L. Rodriguez Mendez | Internal Medicine | 12701 Padgett Switch Road, Medicine Dept., Irvington, AL 36544-4011 | 2009-07-30 |
| 1629304183 | Bayou Pharmacy LLC | Pharmacy | 12855 Padgett Switch Rd, Irvington, AL 36544-4015 | 2009-10-19 |
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699192054 | Hudson Physicians Associates | Internal Medicine | 40 Union Ave Ste 204, Irvington, NJ 07111-3290 | 2014-03-24 |
| 1952532566 | Wilsania L. Rodriguez Mendez | Internal Medicine | 12701 Padgett Switch Road, Medicine Dept., Irvington, AL 36544-4011 | 2009-07-30 |
| 1609018555 | Ron Cohen | Internal Medicine | 246 Harriman Rd, Irvington, NY 10533-2024 | 2009-03-24 |
| 1346430774 | Nudrat F Ayub | Internal Medicine | 50 Union Ave Ste 605, Irvington, NJ 07111-3262 | 2007-08-01 |
| 1578605812 | Chikezie Onyenso | Internal Medicine | 34 Union Ave Fl 2, Irvington, NJ 07111-3219 | 2007-02-13 |
| 1497892897 | Donna Marie Torre | Internal Medicine | 22 Westwood Cir, Irvington, NY 10533-1837 | 2007-02-01 |
| 1740339001 | City Urgent Care, P.C. | Internal Medicine | 1186 Clinton Ave, Irvington, NJ 07111-2013 | 2007-01-09 |
| 1386702181 | Rasiklal Ambalal Patel | Internal Medicine | 2 Smalley Terrace, Irvington, NJ 07111 | 2006-12-05 |
| 1144395617 | Patricia Jeffries Brown | Internal Medicine | 832 Chancellor Ave, Irvington, NJ 07111-2285 | 2006-11-21 |
| 1356432678 | Adeniyi Ogunkoya | Internal Medicine | 964 Sanford Avenue, Irvington, NJ 07111 | 2006-09-28 |
| Find all providers in IRVINGTON | ||||
Please comment or provide details below to improve the information on DR. RAYMOND NMN BROUGHTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.