Scotty Broussard, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01087 Issued in TX

Practice address

3201 Bee Cave Rd
Suite 154
Austin, TX 78746-6771

Phone

(512) 330-1772

NPI assigned

Feb 10, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ac Royal Medical Group

  • Acupuncturist
  • Austin, TX
  • NPI 1902104847
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1083987713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 ALCOTT LN",
            "address_2": "UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485662",
            "telephone_number": "512-497-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 BEE CAVE RD",
            "address_2": "SUITE 154",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466771",
            "telephone_number": "512-330-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "SCOTTY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleisha Broussard
• Irene L Broussard, CRNA
• Jill Broussard, LPC
• Joel Earl Broussard Jr., DDS,MS
• Kelli Broussard, S.L.P.
• Leslie Anne Broverman, RDN
• David A Browder, DPT
• Michaela Browder
• Daphne Jaguar Browell, LCDC
• Anesha Roshon Brown-Morris, LMT

• Acupuncturist in Austin, TX
• Providers in Austin, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.