Nikki Broussard, CRNP
NPI 1043034580 · Nephrology Physician · Dothan, AL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nikki Broussard, CRNP is a Nephrology Physician provider in Dothan, AL (NPI 1043034580).
Provider details
- NPI number
- 1043034580
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-121127 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Frequently asked questions
- What is Nikki Broussard's NPI number?
- Nikki Broussard's National Provider Identifier (NPI) is 1043034580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nikki Broussard's specialty?
- Nikki Broussard is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Nikki Broussard located?
- Nikki Broussard's practice location on file with NPPES is 207 Haven Dr, Dothan, AL 36301-2919.
- What is Nikki Broussard's phone number?
- The practice phone number listed in the NPPES registry for Nikki Broussard is (337) 793-3319.
- Does Nikki Broussard accept Medicare?
- Nikki Broussard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nikki Broussard's NPI active?
- Yes — Nikki Broussard's NPI (1043034580) is active in the NPPES registry as of the last update on 2024-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.