Alliance Regenerative and Performance Medicine, PLLC
NPI 1104418292 · Sports Medicine (Family Medicine) Physician · St Petersburg, FL
Alliance Regenerative and Performance Medicine, PLLC is a Sports Medicine (Family Medicine) Physician organization in St Petersburg, FL (NPI 1104418292).
Provider details
- NPI number
- 1104418292
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Broussard, Owner(727) 258-7224
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
5 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
Mailing address
Registry dates
- Enumerated
- 2021-02-09
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Frequently asked questions
- What is Alliance Regenerative and Performance Medicine, PLLC's NPI number?
- Alliance Regenerative and Performance Medicine, PLLC's National Provider Identifier (NPI) is 1104418292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alliance Regenerative and Performance Medicine, PLLC?
- Alliance Regenerative and Performance Medicine, PLLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Alliance Regenerative and Performance Medicine, PLLC located?
- Alliance Regenerative and Performance Medicine, PLLC's practice location on file with NPPES is 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480.
- What is Alliance Regenerative and Performance Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Alliance Regenerative and Performance Medicine, PLLC is (727) 258-7224.
- Who is the authorized official for Alliance Regenerative and Performance Medicine, PLLC?
- The authorized official listed on Alliance Regenerative and Performance Medicine, PLLC's NPPES record is John Broussard, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alliance Regenerative and Performance Medicine, PLLC's NPI active?
- Yes — Alliance Regenerative and Performance Medicine, PLLC's NPI (1104418292) is active in the NPPES registry as of the last update on 2021-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.