Bradley James Broussard in Fayetteville - Orthopaedic Surgery
Bradley James Broussard - NPI 1457325110
Bradley James Broussard is a Orthopaedic Surgery in Fayetteville, North Carolina. Bradley James Broussard practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Bradley James Broussard is 1457325110. The last update date is 2012-10-03.
Bradley James Broussard's current location address is 4140 Ferncreek Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9104842171 and fax number 9104844568. The mailing address for Bradley James Broussard is 4140 Ferncreek Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley James Broussard |
|---|---|
| Address | 4140 Ferncreek Dr, Fayetteville, North Carolina |
| Phone Number | 9104842171 |
| Fax Number | 9104844568 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457325110 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2012-10-03 |
Provider Mailing Address Detail
| Address | 4140 Ferncreek Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283142563 |
| Phone Number | 9104842171 |
| Fax Number | 9104844568 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 9600467 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8918801 | NC | -- | |
| 18801 | NC | BCBS INDIVIDUAL ID NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley James Broussard by the Centers for Medicare & Medicaid Services?
The Bradley James Broussard has been assigned the NPI (National Provider Identifier) 1457325110. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bradley James Broussard is geographically located?
The Bradley James Broussard is physically situated at the following location: 4140 Ferncreek Dr, Fayetteville, NC, 283142563.
What is Bradley James Broussard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley James Broussard's area of specialization is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457325110 to Bradley James Broussard?
The Centers for Medicare & Medicaid Services originally issued the 1457325110 to Bradley James Broussard on 2006-02-17.
As of what date was the information regarding Bradley James Broussard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bradley James Broussard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-03.