# DR. JOHN D. BROUGHTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578621272
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2002014382 | MO | — |
| 207R00000X | Internal Medicine Physician | N0662 | TX | — |
| 208M00000X | Hospitalist Physician | 2002014382 | MO | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 06/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110242252 | RAILROAD MEDICARE | — |
| 05 | — | 205890304 | — | MO |
| 01 | — | 431560263010 | TRICARE | — |