JAIME MARIE BROUSSARD PA
NPI 1760918163
Physician Assistant - Medical in Springfield, MA

Active since May 04, 2017
759 CHESTNUT ST, SPRINGFIELD, MA 01107(413) 794-3233(413) 794-9060 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2018, May 10, 2017 (2 updates tracked since 2017).

About Jaime Marie Broussard Pa NPPES

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

JAIME MARIE BROUSSARD PA (NPI 1760918163) is an individual medical provider in Springfield, Massachusetts, licensed in Massachusetts (PA6254) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1760918163
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJAIME MARIE BROUSSARDCredential: PA
Location Address759 CHESTNUT STSpringfield, MA 01107-1619
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-9060
Sole ProprietorNo
Enumeration DateMay 4, 2017
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
NPI 1760918163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · PA6254
759 CHESTNUT ST, Springfield, MA 01107

Other Providers at the Same Location NPPES 20

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

Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Pediatrics (Pediatric Critical Care Medicine)
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107

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 Jaime Broussard's NPI number?

The NPI number for Jaime Broussard is 1760918163. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Jaime Broussard located?

Jaime Broussard practices at 759 Chestnut St, Springfield, MA 01107. The listed phone number is (413) 794-3233.

What is Jaime Broussard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jaime Broussard was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.