DANIEL JAMES BROUSSARD PA-C
NPI 1679066211
Physician Assistant in Huntingdon Valley, PA

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
727 WELSH RD STE 103, HUNTINGDON VALLEY, PA 19006(215) 947-7550(215) 947-0590 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel James Broussard Pa-c NPPES

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

DANIEL JAMES BROUSSARD PA-C (NPI 1679066211) is an individual physician assistant in Huntingdon Valley, Pennsylvania, licensed in Pennsylvania (OA004910) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679066211
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL JAMES BROUSSARDCredential: PA-C
Location Address727 WELSH RD STE 103Huntingdon Valley, PA 19006-6357
Mailing Address727 Welsh Rd Ste 103Huntingdon Valley, PA 19006-6357 · (215) 947-7550 · Fax (215) 947-0590
Fax(215) 947-0590
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
NPI 1679066211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · OA004910
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License OA004910 (PA)
727 WELSH RD STE 103, Huntingdon Valley, PA 19006

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel James Broussard Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870844301
PECOS Enrollment IDI20190913001502
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19006 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 3

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

Podiatrist
727 WELSH RD STE 103
HUNTINGDON VALLEY, PA 19006
Clinic/Center (Dental)
727 WELSH RD STE 103
HUNTINGDON VALLEY, PA 19006
Orthopaedic Surgery
727 WELSH RD STE 103
HUNTINGDON VALLEY, PA 19006

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 Daniel Broussard's NPI number?

The NPI number for Daniel Broussard is 1679066211. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Daniel Broussard located?

Daniel Broussard practices at 727 Welsh Rd Ste 103, Huntingdon Valley, PA 19006. The listed phone number is (215) 947-7550.

What is Daniel Broussard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Broussard enrolled in Medicare?

Yes. Daniel Broussard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniel Broussard accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Daniel Broussard 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.

Is Daniel Broussard affiliated with any hospitals?

According to CMS data, Daniel Broussard is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Daniel Broussard was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.