Thomas W Broughton (NPI# 1073778023, PAC ID# 0941472872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1073778023 |
PAC ID by PECOS | 0941472872 |
Professional Enrollment ID | I20111018000711 |
Full Name | Thomas W Broughton |
Organization Legal Name | RURAL HEALTH MEDICAL PROGRAM, INC. |
Address |
330 Old Hamburg Rd Uniontown AL 36786-2614 |
Phone Number | 3346282651 |
Gender | M |
Graduation Year | 2007 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 0143219196 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010091 | GROVE HILL MEMORIAL HOSPITAL |
010120 | MONROE COUNTY HOSPITAL |
Address | Phone | Organization |
---|---|---|
295 B S Jackson St, Grove Hill, AL 36451-3231 | 2512753173 | GROVE HILL MEMORIAL HOSPITAL, INC |
2016 S Alabama Ave, Monroeville, AL 36460-3044 | 2515753111 | MONROEVILLE EMERGENCY GROUP LLC |
330 Old Hamburg Rd, Uniontown, AL 36786-2614 | 3346282651 | RURAL HEALTH MEDICAL PROGRAM, INC. |
Organization Legal Name | RURAL HEALTH MEDICAL PROGRAM, INC. |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward Childs | Internal Medicine | Rural Health Medical Program, Inc. | 2210 Hwy 221, Camden, AL 36726-4233 |
Roseanne Mary Cook | Family Practice | Rural Health Medical Program, Inc. | 867 County Rd, Pine Apple, AL 36768-3525 |
Glenn S Mcphillips | Podiatry | Rural Health Medical Program, Inc. | 228 Selma Ave, Selma, AL 36701-5825 |
Jamil Akhtar | Internal Medicine | Rural Health Medical Program, Inc. | 228 Selma Ave, Selma, AL 36701-5825 |
Edgar W Brown Jr. | Family Medicine | Rural Health Medical Program, Inc. | 228 Selma Ave, Selma, AL 36701-5825 |
Jame Boyce | Anesthesiology | Rural Health Medical Program, Inc. | 330 Old Hamburg Rd, Uniontown, AL 36786-2614 |
Street Address |
330 OLD HAMBURG RD |
City | UNIONTOWN |
State | AL |
Zip | 36786-2614 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jame Boyce | Anesthesiology | Rural Health Medical Program, Inc. | 330 Old Hamburg Rd, Uniontown, AL 36786-2614 |
City | UNIONTOWN |
Zip Code | 36786 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | UNIONTOWN + EMERGENCY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.