IAN MATTHEW BROUSSARD D.O.
NPI 1871024968
Emergency Medicine in Myrtle Beach, SC
About Ian Matthew Broussard D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IAN MATTHEW BROUSSARD D.O. (NPI 1871024968) is an individual emergency medicine provider in Myrtle Beach, South Carolina, licensed in South Carolina (LL41064) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of William Carey University College Of Osteopathic Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ian Matthew Broussard D.o. 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.
Medicare Billing Reassignments
8Medicare enrollment records show Ian Broussard reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Loris, SC 29569
- Reassigned Medicare billing, South Carolina enrollment
- 240 clinicians in this Medicare group
Mullins, SC 29574
- Reassigned Medicare billing, South Carolina enrollment
- 275 clinicians in this Medicare group
New Iberia, LA 70560
- Reassigned Medicare billing, Louisiana enrollment
- 83 clinicians in this Medicare group
Lafayette, LA 70506
- Reassigned Medicare billing, Louisiana enrollment
- 51 clinicians in this Medicare group
Lafayette, LA 70508
- Reassigned Medicare billing, Louisiana enrollment
- 114 clinicians in this Medicare group
Lafayette, LA 70506
- Reassigned Medicare billing, Louisiana enrollment
- 65 clinicians in this Medicare group
Crowley, LA 70526
- Reassigned Medicare billing, Louisiana enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner Lafayette General Medical Center
Acute Care Hospitals · Lafayette, LAOchsner University Hospital And Clinics
Acute Care Hospitals · Lafayette, LAAcadia General Hospital
Acute Care Hospitals · Crowley, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29572 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
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 Ian Broussard's NPI number?
The NPI number for Ian Broussard is 1871024968. It was assigned to this individual provider in the NPPES registry on March 21, 2017.
Where is Ian Broussard located?
Ian Broussard practices at 809 82nd Pkwy Grand Strand Medical Center Gme Office, Myrtle Beach, SC 29572. The listed phone number is (843) 692-1752.
What is Ian Broussard's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ian Broussard enrolled in Medicare?
Yes. Ian 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.
Which organizations bill Medicare for Ian Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ian Broussard reassigns Medicare benefits to 8 organizations: Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), Mcleod Loris Seacoast Hospital (Loris, SC), Mcleod Health Cheraw (Mullins, SC), Parish State Emergency Physicians LLC (New Iberia, LA), Congress Emergency Group LLC (Lafayette, LA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ian Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ian Broussard accept?
Health plans from CHRISTUS Health Plan list Ian 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 Ian Broussard affiliated with any hospitals?
According to CMS data, Ian Broussard is affiliated with Ochsner Lafayette General Medical Center, Ochsner University Hospital And Clinics and Acadia General Hospital.
When was this NPI record last updated?
The NPPES record for Ian Broussard was last updated on June 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ian Matthew Broussard, D.O. · NPI 1871024968
Emergency Medicine physician in Myrtle Beach, South Carolina. Individual provider, active in the CMS NPPES registry since March 21, 2017.
## Identity
- **NPI:** 1871024968 (Entity type: Individual)
- **Enumerated:** March 21, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** LL41064 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 809 82ND PKWY, GRAND STRAND MEDICAL CENTER GME OFFICE, Myrtle Beach, SC 29572-4607
- **Phone:** (843) 692-1752 · **Fax:** (843) 692-1904
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Mcleod Loris Seacoast Hospital (NPI 1265708119, Loris, SC); Mcleod Health Cheraw (NPI 1710532486, Mullins, SC); Parish State Emergency Physicians LLC (NPI 1023832870, New Iberia, LA); Congress Emergency Group LLC (NPI 1912316944, Lafayette, LA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** William Carey University College Of Osteopathic Medicine, class of 2017
## Record status
- **NPPES last updated:** June 12, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1871024968) · Data from the CMS NPPES public registry.