IndividualActive
Bradley Broussard, M.D.
NPI 1457325110 · Orthopaedic Surgery Physician · Fayetteville, NC
Provider details
- NPI number
- 1457325110
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9600467 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563
Phone: (910) 484-2171
Fax: (910) 484-4568
Approximate (ZIP-level) locationGet directions
Mailing address
4140 Ferncreek Dr
Fayetteville, NC 28314-2563
Additional practice locations (1)
- 40 Aviemore DrPinehurst, NC 28374-9700Phone: (910) 621-5700
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.