PETER B. BROUGHTON MD – NPI #1720617558
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PETER BROUGHTON is a physician located in JOINT BASE LANGLEY-EUSTIS, VA. NPPES has assigned the NPI number 1720617558 to PETER BROUGHTON on April 03, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jan 15, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER BROUGHTON below.

NPI Profile for
PETER B. BROUGHTON

NPI Number
1720617558
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER B. BROUGHTON
Credentials
MD
Primary location
77 NEALY AVE
633D MEDICAL GROUP
JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
Phone: (937) 607-7205 Fax:
1 Other location(s):
8901 Wisconsin Ave
4th Floor, America Bldg
Bethesda, MD 20889
Phone: (301) 319-5437
Mailing address
77 NEALY AVE BLDG 257
HAMPTON, VA 23665-2040
Phone: (757) 764-3716 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 15, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0101272984
2083A0100X
- Preventive Medicine / Aerospace Medicine
VA 0101272984
208000000X
- Pediatrics
VA 0101272984

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.