1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Podiatrist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL BROUSSARD DPM
NPI 1427793074
Podiatrist in Charlotte, NC

Active since April 28, 2022PECOS Enrolled
13430 HOOVER CREEK BLVD # 200, CHARLOTTE, NC 28273(704) 910-8380 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 24, 2026, Apr 28, 2022 (2 updates tracked since 2022).

About Michael Broussard Dpm NPPES

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

MICHAEL BROUSSARD DPM (NPI 1427793074) is an individual podiatrist in Charlotte, North Carolina, licensed in North Carolina (811) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427793074
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMICHAEL BROUSSARDCredential: DPM
Location Address13430 HOOVER CREEK BLVD # 200Charlotte, NC 28273-0054
Mailing Address3812 Holly Oak Dr Unit 15Fayetteville, NC 28314-1291 · (254) 415-9869
Phone(704) 910-8380
Sole ProprietorNo
Enumeration DateApril 28, 2022
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1427793074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NC · 811
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
13430 HOOVER CREEK BLVD # 200, Charlotte, NC 28273
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Broussard Dpm 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28273 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michael Broussard's NPI number?

The NPI number for Michael Broussard is 1427793074. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Michael Broussard located?

Michael Broussard practices at 13430 Hoover Creek Blvd # 200, Charlotte, NC 28273. The listed phone number is (704) 910-8380.

What is Michael Broussard's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Michael Broussard enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Broussard was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.