What is Michael Broussard's NPI number?

Michael Broussard's National Provider Identifier (NPI) is 1063966026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Broussard's specialty?

Michael Broussard is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Michael Broussard located?

Michael Broussard's practice location on file with NPPES is 1326 Church St, Zachary, LA 70791-2743.

What is Michael Broussard's phone number?

The practice phone number listed in the NPPES registry for Michael Broussard is (225) 654-8208.

Is Michael Broussard's NPI active?

Yes — Michael Broussard's NPI (1063966026) is active in the NPPES registry as of the last update on 2016-08-08.

IndividualActive

Michael Broussard, PT

NPI 1063966026 · Specialist · Zachary, LA

Michael Broussard, PT is a Specialist provider in Zachary, LA (NPI 1063966026).

Provider details

NPI number: 1063966026
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: PT
Sex: Male
Sole proprietor: Yes
License: 09455 (LA)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 09455 (LA)
Other Service Providers

Profile Score

Established profile(71/100 index)

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

Registry tenure38% of score
9 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

1326 Church St

Zachary, LA 70791-2743

Phone: (225) 654-8208

Fax: (225) 654-4642

Street-level locationGet directions

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Mailing address