DR. JOHNECA ROCHELLE BROUSSARD (NPI# 1487975447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487975447 |
Entity Type | Individual |
Full Name | DR. JOHNECA ROCHELLE BROUSSARD |
Credential | DO |
Practice Address |
309 Highway 59 South Loop Livingston TX 77351 |
Mailing Address |
108 S William Barnett Ave Cleveland TX 77327 |
Practice Telephone | 9363271055 |
Practice Fax Number | 9363298800 |
Mailing Telephone | 2816592355 |
Mailing Fax Number | 2815921570 |
Enumeration Date | 2010-06-14 |
Last Update Date | 2014-12-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | P6146 | TX | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | BP10036752 | TX | Allopathic & Osteopathic Physicians |
Street Address |
309 HIGHWAY 59 SOUTH LOOP |
City | LIVINGSTON |
State | TX |
Zip Code | 77351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
Find all providers in zip 77351 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508488156 | Urgent Health Solutions Livingston | Family Medicine | 1615 W Church St Ste 100, Livingston, TX 77351-8862 | 2020-05-16 |
1801381934 | Park Health Care Pllc | Family Medicine | 1001 River Dr Ste 100, Livingston, MT 59047-3716 | 2018-07-01 |
1669986030 | Ran Health Services, Inc. | Family Medicine | 517 Main St Ste A, Livingston, CA 95334-1427 | 2017-11-21 |
1376922252 | Sandeep Pinnapureddy | Family Medicine | 204 W Park Ste 200, Livingston, TX 77351-9337 | 2015-05-25 |
1346563020 | Stephen Patrick Mcculloh | Family Medicine | 13960 Florida Blvd., Livingston, LA 70754 | 2010-03-09 |
1407097470 | Lauren Gillis Moore | Family Medicine | 13960 Florida Boulevard, Livingston, LA 70754 | 2009-03-20 |
1245486505 | Blackbelt Clinic | Family Medicine | 1302 North Washington, Livingston, AL 35470-0000 | 2008-08-18 |
1821256314 | James Gordon Allison | Family Medicine | 25 Willow Bend Lane, Livingston, MT 59047 | 2008-05-30 |
1174701916 | Livingston After Hours & Occupational Medicine LLC | Family Medicine | 14292 Florida Boulevard, Livingston, LA 70754 | 2008-02-04 |
1710030275 | Sandra Kay Hutchison | Family Medicine | 403 Ogletree Dr Ste 105, Livingston, TX 77351-9444 | 2007-01-19 |
Find all providers in LIVINGSTON |
City | LIVINGSTON |
Zip Code | 77351 |
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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.