Individual provider Active NPI

Raymond NMN Broughton, MD

  • Internal Medicine Physician
  • Bayou la Batre, AL
National Provider Identifier
1790734788
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12358 Issued in AL
Practice address
13833 Tapia Ave
Bayou la Batre, AL 36509-2515
Phone
(251) 824-8320
Fax
(251) 824-3444
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD.12358 AL
Internal Medicine Physician 207R00000X 12358 AL Primary

Addresses

Primary practice location

13833 Tapia Ave
Bayou la Batre, AL 36509-2515

Mailing address

12249 Sonneborn Dr
Theodore, AL 36582-8168
Phone (251) 709-7137

Other identifiers 5

IdentifierTypeStateIssuer
510-47528OtherALBCBS
107424MedicaidAL
510-47527MedicaidAL
107422MedicaidAL
1790734788OtherALTRICARE SOUTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040112000452 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 4486554797 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians
Monroe County Health Care AuthorityGroup PAC ID 2668365859, 10 clinicians

Practice addresses (Care Compare)

13833 Tapia Ave
Bayou la Batre, AL 36509-2515
Phone (251) 824-8320

2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (251) 743-7496

Hospital & facility affiliations

  • Monroe County Hospital Hospital, Monroeville, AL, CCN 011310
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12358ALMDPharmacist

Practice roles (9 of 15)

OrganizationSpecialtyStatusNew patients
Monroe County Health Care Authority CurrentSince Apr 1, 2025 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Altapointe Health Systems, Inc CurrentSince Feb 10, 2025 Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
Monroe County Health Care Authority Current Accepting new patients
Providence Hospital CurrentSince Jul 8, 2011 Accepting new patients
Providence Hospital CurrentSince Jul 8, 2011 Accepting new patients
Monroe County Health Care Authority CurrentSince Apr 1, 2025 Accepting new patients
Mobile Emergency Physicians, LLC CurrentSince Apr 15, 2013 Accepting new patients

Locations

13833 Tapia Ave
Bayou Labatre, AL 36509
Phone (251) 824-4985

12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

5600 Girby Rd
Mobile, AL 36693
Phone (251) 435-2646

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

16 Medical Center Dr
Monroeville, AL 36460
Phone (251) 575-3266

2016 S Alabama Ave
Ste C
Monroeville, AL 36460
Phone (251) 575-3111

Networks

  • bcbs alabama network 01A0
  • bcbs alabama network 01E0
  • bcbs alabama network 01C0
  • bcbs alabama network 01H0
  • bcbs alabama network 01G0
  • bcbs alabama network 01B0

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: raymond.broughton.1@33295.direct.athenahealth.com

Organizations & group practices 9

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1790734788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12249 SONNEBORN DR",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365828168",
            "telephone_number": "251-709-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13833 TAPIA AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092515",
            "telephone_number": "251-824-8320",
            "fax_number": "251-824-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "RAYMOND",
        "middle_name": "NMN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.12358",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "12358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-47528",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107424",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510-47527",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107422",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1790734788",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayou la Batre, AL

Sources for this page

Verify at the official NPI Registry.