Individual provider · Type 1 NPI
Peter Bradley Broughton, MD
General Practice Physician · Joint Base Langley-Eustis, VA
NPI number
1720617558
Active
Practice location
77 Nealy Ave, 633D Medical Group
Joint Base Langley-Eustis, VA 23665-2040
Mailing address
77 Nealy Ave Bldg 257
Hampton, VA 23665-2040
Other practice locations
- 8901 Wisconsin Ave, 4th Floor, America Bldg, Bethesda, MD 20889 · (301) 319-5437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 0101272984 (VA) |
| Pediatrics Physician | 208000000X | 0101272984 (VA) |
| General Practice Physician Primary | 208D00000X | 0101272984 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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- Alyssa DutkiewiczPhysician Assistant Hampton, VA NPI 1114688447
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- Amanda Kanwischer Gutierrez, ODOptometrist Langley Afb, VA NPI 1184933582
Other general practice physician providers in Joint Base Langley-Eustis
About NPI 1720617558
Peter Bradley Broughton, MD's National Provider Identifier is 1720617558, issued on Apr 3, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Joint Base Langley-Eustis, VA. The record was last updated on Jan 15, 2026.