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ELZIA RENA BROUSSARD MD
NPI 1376006254
Pediatrics in Wake Forest, NC

Active since April 09, 2019PECOS Enrolled
3000 ROGERS RD STE 210, WAKE FOREST, NC 27587(919) 385-2120(919) 385-2144 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elzia Rena Broussard Md NPPES

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

ELZIA RENA BROUSSARD MD (NPI 1376006254) is an individual pediatrics provider in Wake Forest, North Carolina, licensed in North Carolina (2022-00924) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376006254
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELZIA RENA BROUSSARDCredential: MD
Location Address3000 ROGERS RD STE 210Wake Forest, NC 27587-5745
Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111
Phone(919) 385-2120
Fax(919) 385-2144
Sole ProprietorNo
Enumeration DateApril 9, 2019
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1376006254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2022-00924
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3000 ROGERS RD STE 210, Wake Forest, NC 27587
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elzia Rena Broussard Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elzia Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke University Affiliated Physicians, Inc.
Same address
Emergency Medicine
3000 ROGERS RD STE 100
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group
NPI 1649140963 (919) 385-1601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTIAN NECHYBA M.D.
Pediatrics
3000 ROGERS RD STE 210
WAKE FOREST, NC 27587
Wake County (919) 385-2120
DR. SARA N TABRIZI M.D.
Pediatrics
3000 ROGERS RD STE 210
WAKE FOREST, NC 27587
Wake County (919) 385-2120
ERIKA COLLINS CRAVANAS M.D.
Pediatrics
3000 ROGERS RD STE 210
WAKE FOREST, NC 27587
Wake County (919) 385-2120
DR. NICOLE CAMERON MD
Pediatrics
3000 ROGERS RD STE 210
WAKE FOREST, NC 27587
Wake County (919) 385-2120
STACEY KATHRYN PRUDICH
Nurse Practitioner (Pediatrics)
3000 ROGERS RD STE 210
WAKE FOREST, NC 27587
Wake County (919) 385-2120

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 Elzia Broussard's NPI number?

The NPI number for Elzia Broussard is 1376006254. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Elzia Broussard located?

Elzia Broussard practices at 3000 Rogers Rd Ste 210, Wake Forest, NC 27587. The listed phone number is (919) 385-2120.

What is Elzia Broussard's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elzia Broussard enrolled in Medicare?

Yes. Elzia Broussard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elzia Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elzia Broussard reassigns Medicare benefits to Duke University Affiliated Physicians, Inc. (Wake Forest, NC). The 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 Elzia Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elzia Broussard accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Elzia Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elzia Broussard was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.