What is Ricky Broughton's NPI number?

Ricky Broughton's National Provider Identifier (NPI) is 1639806227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ricky Broughton's specialty?

Ricky Broughton is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Ricky Broughton located?

Ricky Broughton's practice location on file with NPPES is 1112 Enterprise Drive, Logan, WV 25601.

What is Ricky Broughton's phone number?

The practice phone number listed in the NPPES registry for Ricky Broughton is (304) 896-6871.

Is Ricky Broughton's NPI active?

Yes — Ricky Broughton's NPI (1639806227) is active in the NPPES registry as of the last update on 2022-08-03.

IndividualActive

Ricky Broughton, PRSS

NPI 1639806227 · Peer Specialist · Logan, WV

Ricky Broughton, PRSS is a Peer Specialist provider in Logan, WV (NPI 1639806227).

Provider details

NPI number: 1639806227
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: PRSS
Sex: Male
Sole proprietor: No
License: 21-818 (WV)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense 21-818 (WV)
Other Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1112 Enterprise Drive

Logan, WV 25601

Phone: (304) 896-6871

Approximate (ZIP-level) locationGet directions

More WV providers

Mailing address