Michael Broussard

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4267 Fox Ridge Dr
Batavia, OH 45103-2741

Phone

(513) 633-0938

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1831952985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 FOX RIDGE DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032741",
            "telephone_number": "513-633-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4267 FOX RIDGE DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032741",
            "telephone_number": "513-633-0938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4267 Fox Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "OH",
            "postal_code": "451032741",
            "country_code": "US",
            "telephone_number": "513-633-0938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda J Brock, RN
• Rebecca Brock, OTR/L
• Lewis Clair Brokaw, DDS
• Tiffany Lynn Brondhaver
• Emily Brookbank, PA-C
• Payton Brown
• Jennifer Brummell
• Kelsey Brummett, CDCA
• Vanessa Bundy, LPN
• Sheri Keller Burdick, PT

• Personal Care Attendant in Batavia, OH
• Providers in Batavia, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.