BRIAN PAUL BROUSSARD


Address: 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388
Phone: 8135637668

BRIAN PAUL BROUSSARD (NPI# 1750809448) 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) 1750809448
Entity Type Individual
Full Name BRIAN PAUL BROUSSARD
Credential DPT
Practice Address 15049 Bruce B Downs Blvd
Tampa
FL 33647-1388
Mailing Address 2301 Stirling Cir Unit 206
Dunedin
FL 34698-7055
Practice Telephone 8135637668
Mailing Telephone 3372540880
Enumeration Date 2017-09-02
Last Update Date 2018-10-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251S0007X Physical Therapist
Specialization: Sports
PT34062 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2251S0007X Physical Therapist
Specialization: Sports
1679719421 VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2751 Prosperity Ave, Fairfax, VA 220314397 7032373930

Other Providers BRIAN BROUSSARD

NPI Name Taxonomy Address Enumeration
1114037314 Brian J Broussard Nurse Anesthetist, Certified Registered 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2006-08-30

Office Location

Street Address 15049 BRUCE B DOWNS BLVD
City TAMPA
State FL
Zip Code 33647-1388

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962854802 Root Cause Medical Clinic LLC General Practice 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 2016-07-04
1992351100 Lauren Ashleigh Leiva Physical Therapist 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 2019-08-13
1184174179 The Root Cause Clinic Clinic/Center 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 2016-10-13
1366998304 Derek D Stewart Chiropractor 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 2016-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558972935 Innovative Healthcare of Florida, Inc. Home Health 8903 Bruce B Downs Blvd, Tampa, FL 33647 2020-08-11
1093331498 Envision In-home Companion Svcs Home Health 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 2020-06-22
1538788344 Deanna Rene Shelpman Massage Therapist 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 2020-04-11
1316598998 Paramount Health Group LLC In Home Supportive Care 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 2019-09-24
1174185656 S&k Management Services Clinical Nurse Specialist 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 2019-07-03
1760040133 Calisia Sapp Clinic/Center 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 2019-05-31
1306400106 B2b Apps Solutions, LLC Durable Medical Equipment & Medical Supplies 17931 Cachet Isle Drive, Tampa, FL 33647 2019-04-26
1376000919 Florida Homecare Specialists Minority Corp Home Health 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 2019-03-01
1982188157 Dynamic Support Solutions, LLC Home Health 8606 Baneberry Ct, Tampa, FL 33647 2018-09-24
1982197430 Erika Mendoza-hutto Nurse Practitioner 20713 Center Oak Dr, Tampa, FL 33647 2018-06-10
Find all providers in zip 33647

Taxonomy Information

Taxonomy Code 2251S0007X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Sports

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194209205 Jack Malafronte Physical Therapist 2221 S Dale Mabry Hwy, Tampa, FL 33629-6313 2018-09-25
1134643356 Thomas Mulligan Physical Therapist 401 Channelside Dr, Tampa, FL 33602-5400 2017-07-29
1508348640 James Francis Haughney IIi Physical Therapist 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 2018-09-05
1144293408 Jody Carl Andersen Physical Therapist 401 W Kennedy Blvd, Box 30f, Tampa, FL 33606-1450 2006-02-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538721907 Revolution Sports and Performance LLC Physical Therapist 27774 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 2019-07-05
1790242105 Ignacio Ray Barajas Physical Therapist 11723 Gulf Beach Hwy, Pensacola, FL 32507-9143 2019-02-22
1679041081 Mauricio Elizondo Physical Therapist 201 Atp Tour Blvd, Ponte Vedra Beach, FL 32082-3211 2018-11-05
1881109791 Michael R Preciados Physical Therapist 2999 Ne 191st St Ste 230, Aventura, FL 33180-3115 2017-12-14
1467970277 Naples Premier Physical Therapy Inc Physical Therapist 3940 Prospect Ave Ste 103, Naples, FL 34104-3745 2017-08-31
1962952333 Jordan Clayborne Physical Therapist 4747 N Ocean Dr Ste 261, Lauderdale By The Sea, FL 33308-2956 2016-10-10
1043764483 Tonny Vandehee Physical Therapist 3264 Pacific Dr, Naples, FL 34119-8672 2016-08-14
1861848517 Physioworks of Miami Physical Therapist 3617 E Sandpiper Dr, #5, Boynton Beach, FL 33436-2463 2016-05-12
1538433552 Physical Therapy & Sports Rehab LLC Physical Therapist 1290 Old Congress Ave., West Palm Beach, FL 33409 2012-03-08
1881829240 Jeremy M Martin Physical Therapist 4767 Drane Field Rd, Lakeland, FL 33811-1220 2009-05-28
Find all providers with the same taxonomy

Competitor

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City TAMPA
Zip Code 33647

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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.

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