MR. TERRANCE BROUSSARD
NPI 1205232550
Specialist/Technologist - Athletic Trainer in Fishers, IN

Q: What is Terrance Broussard's NPI number?

The NPI number for Terrance Broussard is 1205232550. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Q: What is Terrance Broussard's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since November 14, 2014

12672 FEDERAL PL, FISHERS, IN 46037(317) 374-4102 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mr. Terrance Broussard NPPES

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

MR. TERRANCE BROUSSARD (NPI 1205232550) is an individual athletic trainer provider in Fishers, Indiana, licensed in Indiana (991572) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1205232550

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. TERRANCE BROUSSARD

Location Address12672 FEDERAL PLFishers, IN 46037-7833

Mailing Address12672 Federal PlFishers, IN 46037-7833 · (317) 374-4102

Phone(317) 374-4102

Sole ProprietorYes

Enumeration DateNovember 14, 2014

✔ NPI 1205232550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in IN · 991572

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

12672 FEDERAL PL, Fishers, IN 46037

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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 Terrance Broussard's NPI number?

The NPI number for Terrance Broussard is 1205232550. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Where is Terrance Broussard located?

Terrance Broussard practices at 12672 Federal Pl, Fishers, IN 46037. The listed phone number is (317) 374-4102.

What is Terrance Broussard's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Terrance Broussard was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.