Jillian Elaine Broughton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9714 Issued in SC

Practice address

1724 State Rd Unit 4D
Summerville, SC 29486-2842

Phone

(843) 352-4454

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1992323760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 CENTRAL PARK RD UNIT 6209",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122850",
            "telephone_number": "843-670-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 STATE RD UNIT 4D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862842",
            "telephone_number": "843-352-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "JILLIAN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert T Brockhouse, D.D.S.
• Ashley Kay Brodrick, DO
• Maureen Louise Brogan, CCC-SLP
• Allie Michelle Brooks, DNP
• Todd V Brooks, PT
• Kalyn Daniel Broughton, CNA
• Stephan Brower
• Lacarma Jene Browley, LMFT
• Emily Kay Brown
• Kala Taylon Brown

• All providers in Summerville, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.