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WILSON ANTOINE BROUSSARD JR. MD
NPI 1952239188
Pathology - Forensic Pathology in Sarasota, FL

Active since May 09, 2026
4510 FRUITVILLE RD, SARASOTA, FL 34232(941) 361-6909(941) 361-6917 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilson Antoine Broussard Jr. Md NPPES

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

WILSON ANTOINE BROUSSARD JR. MD (NPI 1952239188) is an individual forensic pathology provider in Sarasota, Florida, licensed in Florida (68954) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1952239188
Entity TypeIndividualMale
Primary Taxonomy207ZF0201X
Provider Legal NameWILSON ANTOINE BROUSSARD JR.Credential: MD
Location Address4510 FRUITVILLE RDSarasota, FL 34232-1906
Mailing Address8547 Great Meadow DrSarasota, FL 34238-3309 · (941) 730-0022 · Fax (941) 361-6917
Phone(941) 361-6909
Fax(941) 361-6917
Sole ProprietorYes
Enumeration DateMay 9, 2026
NPPES CertifiedMay 9, 2026
✔ NPI 1952239188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Forensic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZF0201X
License✔ Licensed in FL · 68954
Definition
A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials.
4510 FRUITVILLE RD, Sarasota, FL 34232
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wilson Broussard's NPI number?

The NPI number for Wilson Broussard is 1952239188. It was assigned to this individual provider in the NPPES registry on May 9, 2026.

Where is Wilson Broussard located?

Wilson Broussard practices at 4510 Fruitville Rd, Sarasota, FL 34232. The listed phone number is (941) 361-6909.

What is Wilson Broussard's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Forensic Pathology, with taxonomy code 207ZF0201X.

When was this NPI record last updated?

The NPPES record for Wilson Broussard was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.