Individual provider Active NPI

Thomas W Broughton, M.D.

  • Family Medicine Physician
  • Monroeville, AL
National Provider Identifier
1073778023
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31075 Issued in AL
Practice address
1075 Drewry Rd Ste B
Monroeville, AL 36460-2839
Phone
(251) 575-5988
Fax
(251) 575-5970
NPI assigned
Jul 18, 2008
Last updated
Sep 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31075 AL Primary

Addresses

Primary practice location

1075 Drewry Rd Ste B
Monroeville, AL 36460-2839

Mailing address

1075 Drewry Rd Ste B
Monroeville, AL 36460-2839
Phone (251) 575-5988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000711 AL Practitioner - Family PracticePractitioner - Emergency Medicine 0941472872 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ich ER Services of Alabama, LLCGroup PAC ID 2365988185, 13 clinicians
Monroe County Health Care AuthorityGroup PAC ID 2668365859, shared by 6 NPIs, 10 clinicians
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (251) 575-3111

295 B S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-3173

297 S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-2286

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Feb 1, 2021 Accepting new patients
Newgen Alabama Billing LLC CurrentSince Feb 8, 2026 Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Ich ER Services of Alabama, LLC CurrentSince Sep 19, 2024 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Grove Hill Memorial Hospital, Inc CurrentSince Jul 20, 2017 Accepting new patients
Wyko LLC Family Medicine CurrentSince Jan 10, 2024 Accepting new patients
Grove Hill Memorial Hospital, Inc CurrentSince Jul 20, 2017 Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Nes Tennessee Inc Current Accepting new patients
Monroe County Health Care Authority CurrentSince Oct 1, 2023 Accepting new patients
Rural Health Medical Program, Inc Family Medicine Current Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Monroe County Health Care Authority Current Accepting new patients
Rural Health Medical Program, Inc CurrentSince Jul 10, 2019 Accepting new patients
Thomasville Regional Medical Associates LLC Current Accepting new patients
Rural Health Medical Program, Inc CurrentSince Jul 10, 2019 Accepting new patients
Monroe County Health Care Authority Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Monroe Manor Nursing Home LLC PastSince Aug 1, 2024 Accepting new patients
Grove Hill Memorial Hospital, Inc Past Accepting new patients
Monroe County Health Care Authority Past Accepting new patients
Transitional Care LLC Past Accepting new patients

Locations

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

29 L V Stabler Dr
Greenville, AL 36037
Phone (334) 382-2676

295 S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3191

295B S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3173

295B S Jackson St
Ste B
Grove Hill, AL 36451

1310 Washington St
Marion, AL 36756
Phone (334) 683-2073

16 Medical Center Dr
Monroeville, AL 36460
Phone (251) 575-3266

2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111

2016 S Alabama Ave
Ste C
Monroeville, AL 36460
Phone (251) 743-7378

3040 S Alabama Ave
Monroeville, AL 36460
Phone (334) 874-7428

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

101 Park Pl
Selma, AL 36701
Phone (334) 526-2200

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

300 Med Park Dr
Thomasville, AL 36784
Phone (334) 456-6458

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomasville.nurse.1@13116.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monroe County HospitalMonroeville, AL, CCN 011310 Hospital Corporate Officer Oct 1, 2025
Monroe Manor Health & Rehabilitation CenterMonroeville, AL, CCN 015398 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2024
Aug 1, 2024
MCH Rural Health ClinicMonroeville, AL, CCN 013483 Rural health clinic Corporate Director (5%) May 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1073778023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 DREWRY RD STE B",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364602839",
            "telephone_number": "251-575-5988",
            "fax_number": "251-575-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 DREWRY RD STE B",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364602839",
            "telephone_number": "251-575-5988",
            "fax_number": "251-575-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "31075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, AL

Sources for this page

Verify at the official NPI Registry.