JAMES BROUSSARD (NPI# 1447539176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447539176 |
| Entity Type | Individual |
| Full Name | JAMES BROUSSARD |
| Practice Address |
1400 Washington Ave Social Sciences 399 Albany NY 12222-0100 |
| Mailing Address |
6 Sandra Ln Rensselaer NY 12144-9665 |
| Practice Telephone | 5184424825 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760581706 | James V Broussard | Otolaryngology | 604 N. Acadia Rd Ste 101, Thibodaux, LA 70301-4897 | 2006-09-22 |
| 1124088414 | James Coty Broussard | Chiropractor | 6755 Phelan Blvd, Suite18, Beaumont, TX 77706-6075 | 2006-03-23 |
| 1306821764 | James Keith Broussard | Physical Therapist | 295 Highland Dr, Many, LA 71449-3717 | 2005-12-08 |
| 1003434267 | James Dale Broussard Jr. | Specialist/Technologist, Other | 7324 Southwest Fwy Ste 1550, Houston, TX 77074-2053 | 2020-07-13 |
| 1841441995 | James Brian Broussard | Physician Assistant | 201 4th St, Alexandria, LA 71301-8421 | 2008-10-07 |
| 1760602288 | James R Broussard | Social Worker | 203 West Main Street, Suite 101, New Iberia, LA 70560 | 2007-04-26 |
| Street Address |
1400 WASHINGTON AVE SOCIAL SCIENCES 399 |
| City | ALBANY |
| State | NY |
| Zip Code | 12222-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124185590 | Christine Elizabeth Mcgovern | Physician Assistant | 1400 Washington Ave, University Health Center, Albany, NY 12222-0100 | 2007-01-03 |
| 1588279251 | Stride Services LLC | Counselor | 1400 Washington Ave, Albany, NY 12222 | 2020-09-10 |
| 1497234173 | Stephanie Cerniglia | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-08-13 |
| 1205315389 | Kyle Lessard | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-08-09 |
| 1619454709 | State of New York | Orthopaedic Surgery | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-07-23 |
| 1265921845 | Mary Kate Hedderman | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-05-09 |
| 1538658216 | Joe William Tegnander | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-05-08 |
| 1154790426 | Rebecca Sanger | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2015-09-17 |
| 1902297641 | State University of New York At Albany | Pharmacy | 1400 Washington Ave, Student Health Services, Albany, NY 12222 | 2015-02-17 |
| 1962830927 | Tania Khan | Student in an Organized Health Care Education/Training Program | 1400 Washington Ave, Ed 220, Albany, NY 12222-0100 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619533247 | Elisabeth O'rourke | Student in an Organized Health Care Education/Training Program | 1400 Washington Ave Social Sciences 399, Albany, NY 12222-0001 | 2019-05-20 |
| 1982177507 | Matthew Snow | Specialist/Technologist | 1400 Washington Ave Sefcu Arena A25, Albany, NY 12222-0001 | 2019-01-07 |
| 1346739950 | James Franklin Boswell | Psychologist | Social Science 399 1400 Washington Avenue, Albany, NY 12222-0001 | 2018-05-09 |
| 1326537176 | Kimberly Ann Wersted | Specialist/Technologist | 1400 Washington Ave Sefcu A25, Albany, NY 12222-0001 | 2018-05-08 |
| 1659860419 | Patrick Mars | Specialist/Technologist | 1400 Washington Ave Sefcu A-25, Albany, NY 12222-0001 | 2018-05-08 |
| 1174012843 | John Sylak | Specialist/Technologist | 1400 Washington Ave Sefcu Arena A-25, Albany, NY 12222-0001 | 2018-05-08 |
| 1891284550 | Jay Geiger | Specialist/Technologist | University At Albany 1400 Washington Ave, Albany, NY 12222-0001 | 2018-05-08 |
| 1033308770 | Cathleen Anne Lewandowski | Social Worker | University At Albany School of Social Welfare, 135 Western Avenue, Albany, NY 12222-0001 | 2007-10-18 |
| 1740324334 | Graciela Desemone | Internal Medicine | University At Albany Health Ctr, 1400 Washington Avenue, Albany, NY 12222-0001 | 2007-02-16 |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1770196263 | Caroline De Bie | Student in an Organized Health Care Education/Training Program | 305 W End Way Apt 103, Albany, CA 94706-2558 | 2020-08-25 |
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1124648183 | Isis Marlene Topete | Student in an Organized Health Care Education/Training Program | 300 Gooding Way Apt 341, Albany, CA 94706-1950 | 2020-04-20 |
| 1851910632 | Dorneshia Thomas | Student in an Organized Health Care Education/Training Program | 2 Clara Barton Dr # Mc-164, Albany, NY 12208-3472 | 2020-04-13 |
| 1396374252 | Megala Sankrith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Surgery, Albany, NY 12208-3412 | 2020-04-03 |
| 1285263160 | Patrick Jia Huang | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopaedics, Albany, NY 12208-3412 | 2020-04-03 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1699303933 | Khushboo Khan | Student in an Organized Health Care Education/Training Program | 52 Schoolhouse Rd, Albany, NY 12203-3850 | 2020-03-31 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.