Stephen a Broughton, MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E0252 Issued in AR

Legal business name

STEPHEN A BROUGHTON, MD PA

Practice address

1726 W 42ND Ave
Pine Bluff, AR 71603-7008

Phone

(870) 535-6800

Fax

(870) 535-6805

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Broughton, M.D.

Title

Physician

Phone

(870) 535-6800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Broughton Clinic Doing business as

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1477578326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-535-6800",
            "fax_number": "870-535-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-535-6800",
            "fax_number": "870-535-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A BROUGHTON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-535-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E0252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA PART B",
            "identifier": "P002036692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139067002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Broughton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Gage Stanage, PHARMD
• State of Arkansas
• Charles J Stearns, MD
• Allison Steele
• Meredith Renee Stefanik, PHARMD
• Stephens Chiropractic Clinic Inc.
• Michael Clay Stephens, DC
• Sha'Vonya M Stephens, LADC
• Tonya Sterling
• Beverly Anne Stevens

• Psychiatry Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.