| Dr Raymond Nmn Broughton, MD | |
|
13833 Tapia Ave, Bayou La Batre, AL 36509-2515 | |
| (251) 824-8320 | |
| (251) 824-3444 |
| Full Name | Dr Raymond Nmn Broughton |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 13833 Tapia Ave, Bayou La Batre, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790734788 | NPI | - | NPPES |
| 631500002 | Medicaid | AL | |
| 510-47527 | Medicaid | AL | |
| 510-47528 | Other | AL | BCBS |
| 107424 | Medicaid | AL | |
| 107422 | Medicaid | AL | |
| 1790734788 | Other | AL | TRICARE SOUTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12358 (Alabama) | Primary |
| 208M00000X | Hospitalist | MD.12358 (Alabama) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altapointe Health Systems Inc | 1052224052 | 66 |
| Entity Name | Altapointe Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518095413 PECOS PAC ID: 1052224052 Enrollment ID: O20040206000701 |
| Entity Name | Bayou La Batre Area Health Development Board, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794426 PECOS PAC ID: 3577472810 Enrollment ID: O20040510000323 |
| Entity Name | Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952390643 PECOS PAC ID: 9830111871 Enrollment ID: O20051219000880 |
| Entity Name | Mobile Emergency Physicians, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881934982 PECOS PAC ID: 4981840832 Enrollment ID: O20130418000512 |
| Entity Name | Monroe County Health Care Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992178552 PECOS PAC ID: 2668365859 Enrollment ID: O20160321001799 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raymond Nmn Broughton, MD Po Box 769, Bayou La Batre, AL 36509-0769 Ph: (251) 824-2174 | Dr Raymond Nmn Broughton, MD 13833 Tapia Ave, Bayou La Batre, AL 36509-2515 Ph: (251) 824-8320 |
Mrs. Juanita C Villasis-lopez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509 Phone: 251-824-4985 Fax: 251-824-4990 |