Individual provider Active NPI

Stephanie Broughton, M.D.

  • Family Medicine Physician
  • Harrison, OH
National Provider Identifier
1508811951
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006667 Issued in OH
Practice address
10450 New Haven Rd
Harrison, OH 45030-2780
Phone
(513) 981-5852
Fax
(513) 367-8031
NPI assigned
May 24, 2006
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 34006667 OH Primary

Addresses

Primary practice location

10450 New Haven Rd
Harrison, OH 45030-2780

Mailing address

10450 New Haven Rd
Harrison, OH 45030-2780
Phone (513) 981-5852

Other identifiers 1

IdentifierTypeStateIssuer
2177862MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006667OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Associated Physicians, Inc Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1508811951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 NEW HAVEN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302780",
            "telephone_number": "513-981-5852",
            "fax_number": "513-367-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 NEW HAVEN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302780",
            "telephone_number": "513-981-5852",
            "fax_number": "513-367-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2177862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.