MR. MICHAEL ANTHONY BROUSSARD


Address: Cmr 457 Box 2169, Apo, AE 09033
Phone: 3184258190

MR. MICHAEL ANTHONY BROUSSARD (NPI# 1639444383) 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) 1639444383
Entity Type Individual
Full Name MR. MICHAEL ANTHONY BROUSSARD
Credential PA-C
Practice Address Cmr 457 Box 2169
Apo
AE 09033
Mailing Address Cmr 457 Box 2169
Apo
AE 09033-0022
Practice Telephone 3184258190
Enumeration Date 2012-03-14
Last Update Date 2012-03-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL BROUSSARD

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1699890376 Michael L Broussard Internal Medicine 2770 3rd Ave Ste 210, Lake Charles, LA 70601-0404 2007-03-20
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1043491921 Michael Paul Broussard Nurse Anesthetist, Certified Registered 22 S Greene St, Baltimore, MD 21201-1544 2007-11-19

Office Location

Street Address CMR 457 BOX 2169
City APO
State AE
Zip Code 09033

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578904819 Us Army Clinic/Center Usahc Schweinfurt, Unit 25850 Box 7, Apo, AE 09033 2013-07-16
1184991267 Shauna Coralee Bromell Dental Hygienist Unit 25850 Box 48, Schweinfurt Dental Clinic, Apo, AE 09033 2011-11-17
1578889481 Stephen C Lester Registered Nurse Usahc Sft, Unit 25850, Box 7, Apo, AE 09033 2010-04-16
1043441157 Maurice Christopher Murphy Social Worker Apo, Ae Cmr 457 Box 359, Schweinfurt, BAVARIA 09033 2009-08-06
1285802462 Vernell Jordan Registered Nurse Cmr 457 Box 493, Apo, AE 09033 2008-02-11
1194851261 Rodolfo Lim Cubacub Military Health Care Provider Cmr 457, Box 639, Apo, AE 09033 2007-02-26
1033251574 Paul Harrison Shreve Physician Assistant Usameddac Wuerzburg, Schweinfurt Health Clinic, Ledward Barracks, Schweinfurt, Apo, AE 09033 2007-02-13
1679642839 Ermc Uniform Business Office Military/U.S. Coast Guard Pharmacy Ledward Barr Niederwerrner Bldg 201, 97421 Schweinfurt Germany, Apo, AE 09033 2006-11-06
1760561690 Leslie S Hall Counselor Cmr 457 Box 814, Apo, AE 09033 2006-11-02
1962589028 Geraldine Ann Warner Counselor Usag Schweinfurt, Cmr457 Box 627, Apo, AE 09033 2006-11-01
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336747799 John Daniel Generous Physician Assistant Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 2020-10-16
1003375924 Kevin Scott Floyd Physician Assistant Camp Humphrey's, Apo, AP 96271 2019-03-19
1346714946 Kyle Rudolph Physician Assistant Camp Casey, 0037 Fa Bn 06 Field Artil, Apo, AP 96224-5543 2019-01-16
1952897076 Alixandra Maria Mackey Physician Assistant Via Giorgio Corbetta 17, Apo, AE 36100 2018-07-02
1538652631 Sung Chol Kim Physician Assistant 210th Fa Bde, Unit # 15564, Apo, AP 96224 2018-06-13
1174012959 Jessica Ann Morley Physician Assistant Meddacb Cmr 411, Building 700, Apo, AE 09112 2018-05-07
1346748274 Jonathan David Mays Physician Assistant Landstuhl Regional Medical Center (lrmc), Bldg 3758, Apo, AE 66849 2018-01-25
1710403654 Dustin Young Physician Assistant Rose Barracks Bldg 260, Apo, AE 09112 2017-08-22
1518491984 Aaron Vanderburg Physician Assistant Bldg S180 American Ave, Apo, AP 96260 2017-04-12
1700326493 Matthew Perdue Physician Assistant Hhc 2id Sbde, Unit 15476, Apo, AP 96260-5476 2017-03-01
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Competitor

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City APO
Zip Code 09033

Improve Information

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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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