IndividualActive
Bernetta Broughton, M.D.
NPI 1235134859 · Pediatric Adolescent Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1235134859
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15087 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4700 N 51st Ave
Ste 4
Phoenix, AZ 85031-1237
Phone: (623) 846-7575
Fax: (623) 247-6386
Approximate (ZIP-level) locationGet directions
Mailing address
4700 N 51st Ave
Phoenix, AZ 85031-1237
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.