MR. ANDREA BROUSSARD
NPI 1538605027
Home Health Aide in Gulfport, MS
NPI Status: Active since January 09, 2017
Contact Information
406 PASS RD
GULFPORT, MS
ZIP 39507
Phone: (286) 699-8402
- Individual
- Male
- Home Health Aide
About ANDREA BROUSSARD
This page provides the complete NPI Profile along with additional information for Andrea Broussard, a provider established in Gulfport, Mississippi with a medical specialization in Home Health Aide. The healthcare provider is registered in the NPI registry with number 1538605027 assigned on January 2017. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1538605027
- Provider Name
- MR. ANDREA BROUSSARD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 406 PASS RD GULFPORT, MS 39507
- Location Phone
- (286) 699-8402
- Mailing Address
- 406 PASS RD GULFPORT, MS 39507
- Mailing Phone
- (286) 699-9840
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-09-2017
- Last Update Date
- 02-01-2019
- Code Navigator
Location Map
Secondary Locations
- 406 Pass Rd
Gulfport, MS 39507
(286) 699-8402
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health Aide
- Taxonomy Code
- 374U00000X
- Type
- Nursing Service Related Providers
- License State
- MS
- Taxonomy Description
- A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 146D00000X | Emergency Medical Service Providers | Personal Emergency Response Attendant | |
| 2 | 172A00000X | Other Service Providers | Driver | |
| 3 | 3747P1801X | Nursing Service Related Providers | Technician |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104736701 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 6 | 0 | 5 | 0 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 12 | 0 | 10 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 2 + 0 + 1 + 0 + 0 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1538605027 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538605027, enumerated as an "individual" on January 09, 2017.
The provider is located at 406 PASS RD GULFPORT, MS 39507 and the phone number is (286) 699-8402.
Home Health Aide with taxonomy code 374U00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
