Organization Active NPI

Daniel T Broughton Inc

  • Professional Counselor
  • Grand Blanc, MI
National Provider Identifier
1144041567
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DANIEL T BROUGHTON INC
Practice address
8323 Office Park Dr Ste C-3
Grand Blanc, MI 48439-2068
Phone
(810) 869-1015
Fax
(810) 535-5125
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Daniel T BroughtonNPI 1205188877
Title
Owner
Phone
(810) 869-1015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

8323 Office Park Dr Ste C-3
Grand Blanc, MI 48439-2068

Mailing address

435 Timberwood TRL
Ortonville, MI 48462-8645
Phone (810) 869-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241113004265 MI Part B Supplier - Clinic/Group Practice 7810421823 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

8323 Office Park Dr
Ste C3
Grand Blanc, MI 48439
Phone (810) 869-1015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1144041567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 TIMBERWOOD TRL",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628645",
            "telephone_number": "810-869-1015",
            "fax_number": "810-535-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 OFFICE PARK DR STE C-3",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392068",
            "telephone_number": "810-869-1015",
            "fax_number": "810-535-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T BROUGHTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-869-1015"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.