Broussard Primary Care, LLC
NPI 1538909189ActiveOrganization· Internal Medicine· Corpus Christi, TX
Internal Medicine in Corpus Christi, Texas, registered in NPPES in May 2024. The authorized official on file is Craig V. Broussard, MD, Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538909189 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2024 |
| Last updated in NPPES | May 30, 2024 |
| Certified by provider | May 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Internal Medicine providers in Corpus Christi
- 1295749588
- 1033126818
- 1033150750
- 1093034464
- 1366737363
- 1144342635
- 1992245674
- 1740786961
- 1497913040
- 1245419118
- 1326004474
- 1891139580