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MRS. PHILOMENA C BROUSSARD DPT, MPHA, BSPT
NPI 1407923998
Specialist in Pascagoula, MS

Active since November 29, 2006
2838 ANDREW AVE, PASCAGOULA, MS 39567(228) 762-2345(228) 762-2365 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Philomena C Broussard Dpt, Mpha, Bspt NPPES

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

MRS. PHILOMENA C BROUSSARD DPT, MPHA, BSPT (NPI 1407923998) is an individual specialist in Pascagoula, Mississippi, licensed in Mississippi (PT0308) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1407923998
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. PHILOMENA C BROUSSARDCredential: DPT, MPHA, BSPT
Location Address2838 ANDREW AVEPascagoula, MS 39567-1802
Mailing Address2838 Andrew AvePascagoula, MS 39567-1802 · (228) 762-2345 · Fax (228) 762-2365
Phone(228) 762-2345
Fax(228) 762-2365
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407923998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · PT0308
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2838 ANDREW AVE, Pascagoula, MS 39567
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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 Philomena Broussard's NPI number?

The NPI number for Philomena Broussard is 1407923998. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Philomena Broussard located?

Philomena Broussard practices at 2838 Andrew Ave, Pascagoula, MS 39567. The listed phone number is (228) 762-2345.

What is Philomena Broussard's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Philomena Broussard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.