Dana Broughton is a Pediatrics in Cary, North Carolina. Dana Broughton practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dana Broughton is 1922191055. The last update date is 2016-08-23.
Dana Broughton's current location address is 511 Alden Bridge Dr, Cary, North Carolina. You can contact this provider via phone number 9842554105. The mailing address for Dana Broughton is 511 Alden Bridge Dr, Cary, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Broughton |
|---|---|
| Address | 511 Alden Bridge Dr, Cary, North Carolina |
| Phone Number | 9842554105 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1922191055 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2016-08-23 |
Provider Mailing Address Detail
| Address | 511 Alden Bridge Dr |
|---|---|
| City | Cary |
| State | North Carolina (NC) |
| Post Code | 275198396 |
| Phone Number | 9842554105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | P7612 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P7612 | NC | NORTH CAROLINA BOARD OF PHYSIC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dana Broughton?
The Dana Broughton has been issued the NPI (National Provider Identifier) 1922191055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Dana Broughton is physically located?
The Dana Broughton is situated at the following address: 511 Alden Bridge Dr, Cary, NC 275198396.
What is the area of specialization for Dana Broughton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dana Broughton is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
On what date did the Dana Broughton receive the assignment of its 1922191055 from the Centers for Medicare & Medicaid Services?
The Dana Broughton was issued its 1922191055 by the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the details related to Dana Broughton most recently updated or revised?
The information pertaining to Dana Broughton, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-23.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY