NPIMap

Individual provider Active NPI

Carrie Lynn Campbell Broughton, MD

  • Internal Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1295737526
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39949 Issued in CO
Practice address
2121 E Harmony Rd
Suite 310
Fort Collins, CO 80528-3400
Phone
(970) 221-3855
Fax
(970) 212-1238
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39949 CO Primary
Physical Medicine & Rehabilitation Physician 208100000X 39949 CO

Addresses

Primary practice location

2121 E Harmony Rd
Suite 310
Fort Collins, CO 80528-3400

Mailing address

2121 E Harmony Rd
Suite 310
Fort Collins, CO 80528-3400
Phone (970) 221-3855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000680 CO Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 1254228299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Physical Medicine and Rehabilitation
Education
University of New Mexico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain View Family MedicineGroup PAC ID 9830160225, 4 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, 530 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

2121 E Harmony Rd
Unit 310
Fort Collins, CO 80528-3403
Phone (970) 221-3855

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

2964 Ginnala Dr
Loveland, CO 80538-2701
Phone (970) 667-7755

730 14TH St SW
Suite 200
Loveland, CO 80537-6349
Phone (970) 663-0815

Hospital & facility affiliations

  • Canyon Home Care & Hospice of Loveland Hospice, Loveland, CO, CCN 061626
  • Canyon Home Care & Hospice Hospice, Denver, CO, CCN 061608
  • Canyon Home Care & Hospice Hospice, Glendale, AZ, CCN 031711
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Family Medicine CurrentSince Jan 5, 2013 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jun 10, 2022 Accepting new patients
Utah Regional Hospitalists LLC Current Accepting new patients
Adamson Medical Corporation PC CurrentSince Sep 2, 2003 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jun 10, 2022 Accepting new patients
Rehabilitation Medicine PC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

915 W Lehigh Ave
Unit 1979
Englewood, CO 80150

2121 E Harmony Rd
Unit 310
Fort Collins, CO 80528
Phone (970) 221-3855

4401 Union St
Loveland, CO 80534
Phone (970) 619-3400

4401 Union St
#A
Loveland, CO 80534
Phone (970) 619-3400

Organizations & group practices 11

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1295737526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "SUITE 310",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "telephone_number": "970-221-3855",
            "fax_number": "970-212-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "SUITE 310",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "telephone_number": "970-221-3855",
            "fax_number": "970-212-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL BROUGHTON",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "39949",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "39949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.