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BROUSSARD PRIMARY CARE, LLC
NPI 1538909189
Internal Medicine in Corpus Christi, TX

Active since May 30, 2024
3301 S ALAMEDA ST STE 212, CORPUS CHRISTI, TX 78411(361) 452-2480(361) 452-2484 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Broussard Primary Care, Llc NPPES

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

BROUSSARD PRIMARY CARE, LLC (NPI 1538909189) is a healthcare organization registered as an internal medicine in Corpus Christi, Texas and active in the NPI registry since May 2024. The organization lists Craig V Broussard, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1538909189
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBROUSSARD PRIMARY CARE, LLC
Location Address3301 S ALAMEDA ST STE 212Corpus Christi, TX 78411-1892
Mailing Address3301 S Alameda St Ste 212Corpus Christi, TX 78411-1892 · (361) 452-2480 · Fax (361) 452-2484
Phone(361) 452-2480
Fax(361) 452-2484
Organization SubpartNo
Authorized OfficialCraig V BroussardPhysician/owner · (337) 263-4104
Enumeration DateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1538909189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3301 S ALAMEDA ST STE 212, Corpus Christi, TX 78411
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broussard Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Broussard Primary Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Craig Broussard, MD
Internal Medicine
NPI 1609838861
4345 NELSON RD STE 201
Lake Charles, LA 70605
(337) 494-6800
✔ PECOS✔ Accepts Medicare301 mi

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

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 Broussard Primary Care, LLC's NPI number?

The NPI number for Broussard Primary Care, LLC is 1538909189. It was assigned to this organization in the NPPES registry on May 30, 2024.

Where is Broussard Primary Care, LLC located?

Broussard Primary Care, LLC is located at 3301 S Alameda St Ste 212, Corpus Christi, TX 78411. The listed phone number is (361) 452-2480.

What is Broussard Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Broussard Primary Care, LLC enrolled in Medicare?

Yes. Broussard Primary Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broussard Primary Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Broussard Primary Care, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Broussard Primary Care, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Broussard Primary Care, LLC 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 Broussard Primary Care, LLC was last updated on May 30, 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.