BERNETTA E BROUGHTON M.D.
NPI 1235134859
Pediatrics - Adolescent Medicine in Phoenix, AZ

Q: What is Bernetta Broughton's NPI number?

The NPI number for Bernetta Broughton is 1235134859. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Q: What is Bernetta Broughton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since June 20, 2005

4700 N 51ST AVE, STE 4, PHOENIX, AZ 85031(623) 846-7575(623) 247-6386 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bernetta E Broughton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNETTA E BROUGHTON M.D. (NPI 1235134859) is an individual adolescent medicine provider in Phoenix, Arizona, licensed in Arizona (15087) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1235134859

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameBERNETTA E BROUGHTONCredential: M.D.

Location Address4700 N 51ST AVE, STE 4Phoenix, AZ 85031-1237

Mailing Address4700 N 51st Ave, Ste 4Phoenix, AZ 85031-1237 · (623) 846-7575 · Fax (623) 247-6386

Phone(623) 846-7575

Fax(623) 247-6386

Sole ProprietorYes

Enumeration DateJune 20, 2005

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1235134859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in AZ · 15087

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License 15087 (AZ)

4700 N 51ST AVE, Phoenix, AZ 85031

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Other Identifiers 5

OtherAZ0182590AZ · Bcbs

Other1Z8746AZ · Healthnet

Medicaid251794AZ

Other770934AZ · United Healthcare

Other85031A006AZ · Tricare

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WARREN J DOWNHOUR D.O,

Family Medicine

4700 N 51ST AVE, 6
PHOENIX, AZ 85031

Maricopa County (623) 209-5555

MARK KENNETH PATTON M.D.

Pediatrics (Adolescent Medicine)

4700 N 51ST AVE, STE 4
PHOENIX, AZ 85031

Maricopa County (623) 846-7575

DR. JENNIFER LYNN HOLMGREN D.O.

Pediatrics

4700 N 51ST AVE, STE 4
PHOENIX, AZ 85031

Maricopa County (623) 846-7575

RONALD D. MORGAN AND ASSOCIATES,INC.

Dentist

4700 N 51ST AVE, SUITE 3
PHOENIX, AZ 85031

Maricopa County (623) 846-7564

SYEDA SAFIA SALEEMUDDIN M.D.

Pediatrics (Adolescent Medicine)

4700 N 51ST AVE, STE 4
PHOENIX, AZ 85031

Maricopa County (623) 846-7575

EVELYN TAN OMANA-ROLDAN M.D.

Family Medicine

4700 N 51ST AVE, SUITE 1
PHOENIX, AZ 85031

Maricopa County (623) 845-8200

R&N FAMILY MEDICAL PRACTICE LLC

Family Medicine

4700 N 51ST AVE
PHOENIX, AZ 85031

Maricopa County (623) 209-5555

MRS. CHRISTIE COOPER FRAKES M.D.

Pediatrics (Adolescent Medicine)

4700 N 51ST AVE, SUITE 4
PHOENIX, AZ 85031

Maricopa County (623) 846-7575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernetta Broughton's NPI number?

The NPI number for Bernetta Broughton is 1235134859. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Bernetta Broughton located?

Bernetta Broughton practices at 4700 N 51st Ave Ste 4, Phoenix, AZ 85031. The listed phone number is (623) 846-7575.

What is Bernetta Broughton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Bernetta Broughton was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.