Individual provider Active NPI

Nicholas Aaron Broughton, DO

  • Family Medicine Physician
  • Keller, TX
National Provider Identifier
1164042339
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U5080 Issued in TX
Practice address
101 Bourland Rd Ste D
Keller, TX 76248-3507
Phone
(833) 818-8383
Fax
(817) 889-8134
NPI assigned
Apr 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 U5080 TX Primary

Addresses

Primary practice location

101 Bourland Rd Ste D
Keller, TX 76248-3507

Mailing address

8080 Independence Pkwy Ste 255
Plano, TX 75025-4032
Phone (833) 818-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230811001933 TX Practitioner - Preventive MedicinePractitioner - Family Practice 1254793946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christine Holland, M.D., P. a.Group PAC ID 3779658190, 30 clinicians

Practice addresses (Care Compare)

800 Medical Ctr Dr
Suite C
Decatur, TX 76234-3844
Phone (940) 626-2110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5080TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ear and Vestibular Institute CurrentSince Oct 6, 2025 Accepting new patients
Arlington Wound Care and Hyperbaric Center LLC Undersea and Hyperbaric Medicine PastSince Aug 1, 2023 Accepting new patients

Locations

101 Bourland Rd
Ste D
Keller, TX 76248
Phone (817) 864-8824

8080 Independence Pkwy
Ste 255
Plano, TX 75025
Phone (469) 678-2211

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1164042339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY STE 255",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254032",
            "telephone_number": "833-818-8383",
            "fax_number": "817-889-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BOURLAND RD STE D",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483507",
            "telephone_number": "833-818-8383",
            "fax_number": "817-889-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "NICHOLAS",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U5080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.