Organization Active NPI

Dr. David M. Broussard, P.C.

  • Community/Behavioral Health Agency
  • Plano, TX
National Provider Identifier
1679747208
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DR. DAVID M. BROUSSARD, P.C.
Practice address
5601 Democracy Dr
Suite 225
Plano, TX 75024-3687
Phone
(972) 403-1359
Fax
(972) 403-1378
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. David M BroussardNPI 1134276983
Title
Owner
Phone
(972) 403-1359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5601 Democracy Dr
Suite 225
Plano, TX 75024-3687

Mailing address

5601 Democracy Dr
Suite 225
Plano, TX 75024-3687
Phone (972) 403-1359

National Provider Directory

National Provider Directory

Locations

5601 Democracy Dr
Ste 225
Plano, TX 75024
Phone (972) 403-1359

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1679747208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR",
            "address_2": "SUITE 225",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243687",
            "telephone_number": "972-403-1359",
            "fax_number": "972-403-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR",
            "address_2": "SUITE 225",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243687",
            "telephone_number": "972-403-1359",
            "fax_number": "972-403-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID M. BROUSSARD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-403-1359",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.