Ancient Widom Healing Arts
NPI 1114318094ActiveOrganization· Acupuncturist· Towson, MD
Acupuncturist in Towson, Maryland, registered in NPPES in February 2015. The authorized official on file is Steven Wilson Broussard, L. AC., M.T.O.M., Vice President.
Overview
| NPI | 1114318094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2015 |
| Last updated in NPPES | Feb 12, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acupuncturist Primary | 171100000X | LIC # U01120 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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