Active NPI
Camille Angela Broussard, M.D., M.P.H.
- Pediatric Adolescent Medicine Physician
- Annapolis, MD
National Provider Identifier
1134461569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- D0081897
- Practice address
- 200 Forbes St Ste 200
Annapolis, MD 21401-1527 - Phone
- (410) 263-6363
- Fax
- (410) 263-7551
- NPI assigned
- Mar 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | D0081897 | MD | Primary |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | D0081897 | MD |
Addresses
Primary practice location
200 Forbes St Ste 200
Annapolis, MD 21401-1527
Mailing address
200 Forbes St Ste 200
Annapolis, MD 21401-1599
Phone (410) 263-6363
Other practice location 1
The Johns Hopkins Hospital
1800 Orleans Street
Baltimore, MD 21287-0001
Phone (410) 955-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0081897 | MD | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1336905710
-
- Pediatrics Physician
- Chester, MD
- NPI 1639935026
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1134461569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FORBES ST STE 200",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011599",
"telephone_number": "410-263-6363",
"fax_number": "410-263-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FORBES ST STE 200",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011527",
"telephone_number": "410-263-6363",
"fax_number": "410-263-7551"
}
],
"practiceLocations": [
{
"address_1": "The Johns Hopkins Hospital",
"address_2": "1800 Orleans Street",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870001",
"country_code": "US",
"telephone_number": "410-955-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROUSSARD",
"first_name": "CAMILLE",
"middle_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-24",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MD",
"license": "D0081897",
"primary": true
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "MD",
"license": "D0081897",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.