Individual
DR. RAYMOND NMN BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13833 TAPIA AVE, BAYOU LA BATRE, AL 36509-2515
(251) 824-8320
(251) 824-3444
Mailing address
12249 SONNEBORN DR, THEODORE, AL 36582-8168
(251) 709-7137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12358
AL
208M00000X
Hospitalist Physician
MD.12358
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107422
—
AL
05
—
107424
—
AL
01
—
1790734788
TRICARE SOUTH
AL
05
—
510-47527
—
AL
01
—
510-47528
BCBS
AL
05
—
631500002
—
AL
Enumeration date
05/08/2006
Last updated
04/23/2026
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