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BRANNON WADE BROUSSARD MD
NPI 1144922253
Student in an Organized Health Care Education/Training Program in Plano, TX

Active since March 21, 2023
3901 W 15TH ST, PLANO, TX 75075(817) 347-1141 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brannon Wade Broussard Md NPPES

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

BRANNON WADE BROUSSARD MD (NPI 1144922253) is an individual student in an organized health care education/training program in Plano, Texas and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1144922253
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANNON WADE BROUSSARDCredential: MD
Location Address3901 W 15TH STPlano, TX 75075-7738
Mailing Address3901 W 15th StPlano, TX 75075-7738 · (817) 347-1141
Phone(817) 347-1141
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1144922253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 W 15TH ST, Plano, TX 75075
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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.

DR. STEVEN ROBERT REIMAN MD
Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Collin County (972) 596-6800
DR. GALON CORY MORGAN MD
Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Collin County (972) 596-6800
THOMAS ALAN GERBUS MD
Emergency Medicine
3901 W 15TH ST
PLANO, TX 75075
Collin County (972) 596-6800
MR. DUSTIN LUU DO
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Collin County (972) 596-6800
R MARK HUFFMAN PLLC
Anesthesiology
3901 W 15TH ST
PLANO, TX 75075
Collin County (972) 596-6800
LUIS MURCIA
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Collin County (972) 396-4075
BAILEY KRAIS MSN, APRN, NNP-BC
Nurse Practitioner (Neonatal)
3901 W 15TH ST
PLANO, TX 75075
Collin County (972) 596-6800
DR. BAO-TRAM XUAN NGUYEN MD
Radiology (Neuroradiology)
3901 W 15TH ST
PLANO, TX 75075
Collin County (972) 596-6800

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 Brannon Broussard's NPI number?

The NPI number for Brannon Broussard is 1144922253. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Brannon Broussard located?

Brannon Broussard practices at 3901 W 15th St, Plano, TX 75075. The listed phone number is (817) 347-1141.

What is Brannon Broussard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brannon Broussard was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.