Active NPI
Dwane Gerard Broussard, M.D.
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J6352
- Practice address
- 9055 Katy Fwy Ste 200
Houston, TX 77024-1629 - Phone
- (713) 461-2915
- Fax
- (713) 461-5307
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J6352 | TX | Primary |
Addresses
Primary practice location
9055 Katy Fwy Ste 200
Houston, TX 77024-1629
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
929 Gessner Rd Ste 1600
Houston, TX 77024-2317
Phone (713) 442-5200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwane.broussard.1@13711.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
929 Gessner Rd
Suite 1600
Houston, TX 77024-2317
Phone (713) 442-5200
Hospital & facility affiliations
- Memorial Hermann Memorial City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Family Medicine | Current | Accepting new patients |
| Barnard Family Health Centers PA | Family Medicine | Past | Accepting new patients |
| Thomas FP, PLLC | Family Medicine | Past | Accepting new patients |
Locations
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
929 Gessner Rd
Ste 1450
Houston, TX 77024
Phone (713) 442-5200
929 Gessner Rd
Ste 1600
Houston, TX 77024
Phone (713) 442-5200
201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826
7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCACAA
- dbroussard129779@direct.kelsey-seybold.com
- dwane.broussard.1@13711.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Family Medicine
-
- Family Medicine Physician
- Cypress, TX
- NPI 1043205636
-
- Family Medicine Physician
- Houston, TX
- NPI 1316277189
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1902801004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9055 KATY FWY STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241629",
"telephone_number": "713-461-2915",
"fax_number": "713-461-5307"
}
],
"practiceLocations": [
{
"address_1": "929 Gessner Rd Ste 1600",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770242317",
"country_code": "US",
"telephone_number": "713-442-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROUSSARD",
"first_name": "DWANE",
"middle_name": "GERARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J6352",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwane.broussard.1@13711.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Village Medical Texas",
"address_1": "9055 Katy Fwy Ste 200",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770241629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.