DR. CAMILLE ANGELA BROUSSARD M.D., M.P.H.
NPI 1134461569
Pediatrics - Adolescent Medicine in Annapolis, MD

Active since March 24, 2013
74.39/100
CMS Quality Rating
200 FORBES ST STE 200, ANNAPOLIS, MD 21401(410) 263-6363(410) 263-7551 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, May 12, 2022, Feb 25, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Camille Angela Broussard M.d., M.p.h. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAMILLE ANGELA BROUSSARD M.D., M.P.H. (NPI 1134461569) is an individual adolescent medicine provider in Annapolis, Maryland, licensed in Maryland (D0081897) and active in the NPI registry since March 2013. She maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1134461569
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. CAMILLE ANGELA BROUSSARDCredential: M.D., M.P.H.
Location Address200 FORBES ST STE 200Annapolis, MD 21401-1527
Mailing Address200 Forbes St Ste 200Annapolis, MD 21401-1599 · (410) 263-6363 · Fax (410) 263-7551
Fax(410) 263-7551
Sole ProprietorNo
Enumeration DateMarch 24, 2013
Last NPPES UpdateApril 29, 20265 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1134461569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in MD · D0081897
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License D0081897 (MD)
200 FORBES ST STE 200, Annapolis, MD 21401

Secondary Practice Location 1

Location 1The Johns Hopkins Hospital, 1800 Orleans StreetBaltimore, MD 21287-0001 · Phone (410) 955-2727

Medicare 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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Nurse Practitioner (Pediatrics)
200 FORBES ST STE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST STE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Pediatrics)
200 FORBES ST STE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST STE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Pediatrics)
200 FORBES ST STE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST STE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Pediatrics)
200 FORBES ST STE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST STE 200
ANNAPOLIS, MD 21401

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 Camille Broussard's NPI number?

The NPI number for Camille Broussard is 1134461569. It was assigned to this individual provider in the NPPES registry on March 24, 2013.

Where is Camille Broussard located?

Camille Broussard practices at 200 Forbes St Ste 200, Annapolis, MD 21401. The listed phone number is (410) 263-6363.

What is Camille Broussard's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Camille Broussard was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.