BRYAN BROUSSARD D.D.S.
NPI 1659761351
Dentist - General Practice in Worthington, MN

Q: What is Bryan Broussard's NPI number?

The NPI number for Bryan Broussard is 1659761351. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Q: What is Bryan Broussard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Broussard was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 02, 2015

1027 2ND AVE, WORTHINGTON, MN 56187(507) 372-7339 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bryan Broussard D.d.s. NPPES

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

BRYAN BROUSSARD D.D.S. (NPI 1659761351) is an individual general practice provider in Worthington, Minnesota, licensed in Minnesota (D13492) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1659761351

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRYAN BROUSSARDCredential: D.D.S.

Location Address1027 2ND AVEWorthington, MN 56187-2380

Mailing Address1027 2nd AveWorthington, MN 56187-2380 · (507) 372-7339

Phone(507) 372-7339

Sole ProprietorNo

Enumeration DateFebruary 2, 2015

✔ NPI 1659761351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D13492

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1027 2ND AVE, Worthington, MN 56187

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

E.T. MCNIECE DDS, P.A.

Dentist

1027 2ND AVE
WORTHINGTON, MN 56187

Nobles County (507) 372-7339

APPLEWHITE DENTAL MINNESOTA, P.C.

Dentist (General Practice)

1027 2ND AVE
WORTHINGTON, MN 56187

Nobles County (507) 372-7339

DR. JOHN PATRICK FINUCANE D.D.S.

Dentist

1027 2ND AVE
WORTHINGTON, MN 56187

Nobles County (507) 372-7339

DR. JEFFREY DALLAS CAMPBELL D.M.D.

Dentist

1027 2ND AVE
WORTHINGTON, MN 56187

Nobles County (507) 372-7339

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 Bryan Broussard's NPI number?

The NPI number for Bryan Broussard is 1659761351. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Bryan Broussard located?

Bryan Broussard practices at 1027 2nd Ave, Worthington, MN 56187. The listed phone number is (507) 372-7339.

What is Bryan Broussard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bryan Broussard was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.