Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor J Broughton, PA-C

Individual provider Physician Assistant · NPI 1952758187

Taylor J Broughton, PA-C is a Physician Assistant in Deer Park, Washington. Qualified in 2016, 10 years ago. Practices with Privia Medical Group Washington PLLC, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

905 E D St
Deer Park, WA 99006-5167
Phone: (509) 276-5005
Fax: (509) 276-7785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 N Argonne Rd Ste 115, Spokane Valley, WA 99212-2796 — (509) 408-2107

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60685606 (WA)

Record details

NPI number1952758187
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 17, 2016
Last updated in NPPESJuly 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Privia Medical Group Washington Pllc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Deer Park