Individual
DR. PETER BRADLEY BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 NEALY AVE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(937) 607-7205
Mailing address
77 NEALY AVE BLDG 257, HAMPTON, VA 23665-2040
(757) 764-3716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101272984
VA
2083A0100X
Aerospace Medicine Physician
0101272984
VA
208D00000X
General Practice Physician
Primary
0101272984
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
01/15/2026
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