MR. ANDREA BROUSSARD


Address: 406 Pass Rd, Gulfport, MS 39507
Phone: 2866998402

MR. ANDREA BROUSSARD (NPI# 1538605027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538605027
Entity Type Individual
Full Name MR. ANDREA BROUSSARD
Practice Address 406 Pass Rd
Gulfport
MS 39507
Mailing Address 406 Pass Rd
Gulfport
MS 39507-2901
Practice Telephone 2866998402
Mailing Telephone 2866999840
Enumeration Date 2017-01-09
Last Update Date 2019-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 146D00000X Personal Emergency Response Attendant Emergency Medical Service Providers
N 172A00000X Driver Other Service Providers
N 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers
Y 374U00000X Home Health Aide MS Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 104736701 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
406 Pass Rd, Gulfport, MS 39507 2866998402

Other Providers ANDREA BROUSSARD

NPI Name Taxonomy Address Enumeration
1659811784 Andrea Broussard Occupational Therapist 3840 Hulen St, Fort Worth, TX 76107-7277 2017-03-08

Office Location

Street Address 406 PASS RD
City GULFPORT
State MS
Zip Code 39507

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609389105 Karen R Burns Speech-Language Pathologist 3506 Washington Avenue, Ste E, Gulfport, MS 39507 2017-11-07
1366872491 William Alexis Marcia Pharmacist 1444 East Pass Road, Gulfport, MS 39507 2013-11-27
1740599380 Advanced Hearing Systems, Inc. Hearing Instrument Specialist 401 Security Square, Gulfport, MS 39507 2010-09-30
1497068118 Stacey Ritter Carter Dentist 1635 East Pass Road, Gulfport, MS 39507 2010-07-22
1477789964 Letonoff Orthopaedics & Sports Orthopaedic Surgery 452 Court House Road, Suite G, Gulfport, MS 39507 2009-06-10
1730385139 Bernard Frederick Podlin Dentist 400 Pass Road, Gulfport, MS 39507 2007-06-22
1043422553 Mark D Stringer Dentist 520-a Courthouse Road, Gulfport, MS 39507 2007-05-04
1154543528 Pass Road Elementary Registered Nurse 37 Pass Road, Gulfport, MS 39507 2007-05-03
1417073768 John Hough Hopkins Dentist 3303 A Ave, Gulfport, MS 39507 2007-03-21
1619003191 Arthur Tripp Chiropractor 422 Security Square, Dr Arthur Tripp Traditional Chiropractic, Gulfport, MS 39507 2007-02-26
Find all providers in zip 39507

Taxonomy Information

Taxonomy Code 374U00000X
Grouping Nursing Service Related Providers
Classification Home Health Aide

Taxonomy Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023635356 Royalty Home Care Health Care Business Home Health Aide 1073 Acadian Dr Ste B, Gulfport, MS 39507-3538 2020-07-02
1568004398 Shavoka L Jackson Home Health Aide 20375 Secretariat, Gulfport, MS 39503-4596 2019-10-14
1366904518 Amesha Barnes Home Health Aide 1232 Camp Ave, Gulfport, MS 39501-2440 2019-04-04
1194231399 Dortha Mae Rideout Home Health Aide 2649 Palmer Dr, Gulfport, MS 39507-2846 2017-12-26
1972884211 Betty Fields Home Health Aide 1529 43rd Ave Apt 103, Gulfport, MS 39501-3701 2011-08-31
1639310899 Valford White Home Health Aide 4930 10th Ave S, Gulfport, FL 33707-2625 2009-03-18
1255635074 Helping Hands LLC (respite Care) Home Health Aide 12266 Ashley Dr, Gulfport, MS 39503-2759 2011-01-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184230229 Tammy Louise Lavigne Home Health Aide 166 Woodland Way, Jackson, MS 39209-3566 2020-09-22
1841804044 David Johnson Home Health Aide 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 2020-09-04
1013521707 Ashley M Hyche Home Health Aide 115 Thornhill Dr Ste A, Hattiesburg, MS 39402-1559 2020-09-01
1881203420 Robyn Winn Home Health Aide 119 E Semmes St, Canton, MS 39046-4527 2020-07-29
1376152512 Jackson Ms Homecare Home Health Aide 2625 Ridgewood Rd Ste 104, Jackson, MS 39216-4900 2020-07-23
1275141186 Precious Holmes Home Health Aide 1321 Sunset Dr Ste A, Grenada, MS 38901-4005 2020-07-16
1770100109 Shanterika Tate Home Health Aide 5407 Martin Luther King Blvd, Moss Point, MS 39563-4543 2020-07-01
1831714260 Jakayla Palmer Home Health Aide 101 Sunset Dr, Clinton, MS 39056-5211 2020-06-11
1679196265 Samantha Catchings Home Health Aide 901 N Bennett St, Crystal Springs, MS 39059-2501 2020-05-18
1447871579 Stewart Health Care Training Academy Home Health Aide 522 West Park Avenue Suite S, Greenwood, MS 38930 2020-04-29
Find all providers with the same taxonomy

Competitor

Search similar providers

City GULFPORT
Zip Code 39507

Improve Information

Please comment or provide details below to improve the information on MR. ANDREA BROUSSARD.

Dataset Information

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.

Trending Searches