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MR. SIDNEY BROUSSARD III
NPI 1639814205
Non-emergency Medical Transport (VAN) in Palmdale, CA

Active since April 28, 2022
1008 W AVENUE M14 STE AD383, PALMDALE, CA 93551(661) 510-6524 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Sidney Broussard Iii NPPES

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

MR. SIDNEY BROUSSARD III (NPI 1639814205) is an individual non-emergency medical transport (van) provider in Palmdale, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1639814205
Entity TypeIndividualMale
Primary Taxonomy343900000X
Provider Legal NameMR. SIDNEY BROUSSARD III
Location Address1008 W AVENUE M14 STE AD383Palmdale, CA 93551-1441
Mailing Address3830 Belleza WayPalmdale, CA 93551-5666 · (661) 510-6524
Phone(661) 510-6524
Sole ProprietorYes
Enumeration DateApril 28, 2022
Last NPPES UpdateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1639814205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
1008 W AVENUE M14 STE AD383, Palmdale, CA 93551
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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 Sidney Broussard's NPI number?

The NPI number for Sidney Broussard is 1639814205. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Sidney Broussard located?

Sidney Broussard practices at 1008 W Avenue M14 Ste Ad383, Palmdale, CA 93551. The listed phone number is (661) 510-6524.

What is Sidney Broussard's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Sidney Broussard was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.