David A Brousseau (NPI# 1598710857, PAC ID# 8729023619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1598710857 |
| PAC ID by PECOS | 8729023619 |
| Professional Enrollment ID | I20050621001310 |
| Full Name | David A Brousseau |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Address |
3 Blakemore Dr Ladera Ranch CA 92694-0248 |
| Phone Number | 9525951100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163597899 |
| Number of Group Practice Members | 339 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050761 | PROVIDENCE TARZANA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3 Blakemore Dr, Ladera Ranch, CA 92694-0248 | 9525951100 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitry Bolkhovets | Diagnostic Radiology | Radadvantage A Professional Corporation | 67 Dora St, Apt 3, Stamford, CT 06902-5414 |
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Clark T Kholeif | Diagnostic Radiology | Radadvantage A Professional Corporation | 6181 Kahiliholo Rd, Kilauea, HI 96754-5117 |
| Tracy J Robinson | Diagnostic Radiology | Radadvantage A Professional Corporation | 1940 E 3375, Millcreek, UT 84106-3939 |
| Katherine Tobin | Diagnostic Radiology | Radadvantage A Professional Corporation | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570 |
| Charles J Vassallo | Diagnostic Radiology | Radadvantage A Professional Corporation | 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602 |
| Judith Corey | Diagnostic Radiology | Radadvantage A Professional Corporation | 5858 Bellaire Dr, New Orleans, LA 70124-1104 |
| Betsy J Bronson | Diagnostic Radiology | Radadvantage A Professional Corporation | 5050 Donald St, Eugene, OR 97405-3526 |
| Mujtaba M Ali | Diagnostic Radiology | Radadvantage A Professional Corporation | 518 S Buena Vista St, Redlands, CA 92373-5804 |
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| Street Address |
3 BLAKEMORE DR |
| City | LADERA RANCH |
| State | CA |
| Zip | 92694-0248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason R Abney | Hospice/palliative Care | 8 Falkner Dr, Ladera Ranch, CA 92694-0925 | |
| Mahsa Safavi | Family Medicine | Centers for Family Medicine | 800 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-1153 |
| Bakulkumar K Patel | Internal Medicine | Centers for Family Medicine | 800 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-1153 |
| Andrew Klein | Family Practice | Centers for Family Medicine | 800 Corporate Dr, Ladera Ranch, CA 92694-1153 |
| Michael S La Pointe | Diagnostic Radiology | Virtual Radiologic Professionals of California Pa | 14 Rinehart Rd, Ladera Ranch, CA 92694-1342 |
| Michelle Paulette Ahumada-brown | Optometry | 30593 Gateway Pl, Rancho Mission Viejo, CA 92694-1855 | |
| Lucas G Bingham | Dermatology | Lucas Bingham M.d., Inc. | 600 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-2107 |
| Brent Ryan Palman | Physician Assistant | Lucas Bingham M.d., Inc. | 600 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-2107 |
| Scott Macadam | Chiropractic | 600 Corporate Dr, Suite 190, Ladera Ranch, CA 92694-2109 | |
| Parastoo Patricia Faraz-eslami | Obstetrics/gynecology | Memorialcare Medical Foundation | 600 Corporate Dr, Suite 210, Ladera Ranch, CA 92694-2110 |
| Find all physicians in zip 92694 | |||
| City | LADERA RANCH |
| Zip Code | 92694 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LADERA RANCH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on David A Brousseau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.