DR. ANDRE EDMOND BROUSSARD M.D.
NPI 1710069695
Pediatrics - Sports Medicine in New York, NY
About Dr. Andre Edmond Broussard M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDRE EDMOND BROUSSARD M.D. (NPI 1710069695) is an individual sports medicine provider in New York, New York, licensed in New York (MD126425) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andre Edmond Broussard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10029
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 Andre Broussard's NPI number?
The NPI number for Andre Broussard is 1710069695. It was assigned to this individual provider in the NPPES registry on October 19, 2006.
Where is Andre Broussard located?
Andre Broussard practices at 1901 First Ave 523, New York, NY 10029. The listed phone number is (212) 423-6228.
What is Andre Broussard's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.
Is Andre Broussard enrolled in Medicare?
Yes. Andre Broussard is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Andre Broussard was last updated on November 29, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
