MR. MICHAEL PAUL BROUSSARD CRNA
NPI 1043491921
Nurse Anesthetist, Certified Registered in Baltimore, MD
About Mr. Michael Paul Broussard Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL PAUL BROUSSARD CRNA (NPI 1043491921) is an individual nurse anesthetist, certified registered in Baltimore, Maryland, licensed in Maryland (R133503) and active in the NPI registry since November 2007. He is affiliated with University Of Maryland Medical Center, maintains a secondary practice location in Baltimore, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Michael Paul Broussard Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Michael Broussard reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Shock Trauma Associates PA
- 541 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Anesthesiology Associates PA
- 303 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 148 clinicians in this Medicare group
Baltimore, MD 21287
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21218
- Reassigned Medicare billing, Maryland enrollment
- 311 clinicians in this Medicare group
Baltimore, MD 21239
- Reassigned Medicare billing, Maryland enrollment
- 2,602 clinicians in this Medicare group
Baltimore, MD 21228
- Reassigned Medicare billing, Maryland enrollment
- 96 clinicians in this Medicare group
Randallstown, MD 21133
- Reassigned Medicare billing, Maryland enrollment
- 135 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Maryland Medical Center
Acute Care Hospitals · Baltimore, MDJohns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDMedstar Harbor Hospital
Acute Care Hospitals · Baltimore, MDMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael Broussard's NPI number?
The NPI number for Michael Broussard is 1043491921. It was assigned to this individual provider in the NPPES registry on November 19, 2007.
Where is Michael Broussard located?
Michael Broussard practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-6704.
What is Michael Broussard's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Michael Broussard enrolled in Medicare?
Yes. Michael Broussard is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Michael Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Broussard reassigns Medicare benefits to 8 organizations: Shock Trauma Associates, P.A. (Baltimore, MD), University Of Maryland Anesthesiology Associates P.A. (Baltimore, MD), University Of Maryland Medical System Corporation (Baltimore, MD), Johns Hopkins University (Baltimore, MD), Medstar Medical Group Anesthesiology LLC (Baltimore, MD) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Broussard affiliated with any hospitals?
According to CMS data, Michael Broussard is affiliated with University Of Maryland Medical Center, Johns Hopkins Hospital, The and Medstar Harbor Hospital.
When was this NPI record last updated?
The NPPES record for Michael Broussard was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Michael Paul Broussard, CRNA · NPI 1043491921
Nurse Anesthetist, Certified Registered physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 19, 2007.
## Identity
- **NPI:** 1043491921 (Entity type: Individual)
- **Enumerated:** November 19, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R133503 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (410) 328-6704 · **Fax:** (410) 328-4124
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Shock Trauma Associates, P.A. (NPI 1679512909, Baltimore, MD); University Of Maryland Anesthesiology Associates P.A. (NPI 1033915145, Baltimore, MD); University Of Maryland Medical System Corporation (NPI 1508807355, Baltimore, MD); Johns Hopkins University (NPI 1295731966, Baltimore, MD); Medstar Medical Group Anesthesiology LLC (NPI 1528578333, Baltimore, MD); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043491921) · Data from the CMS NPPES public registry.