Daniel James Broussard, PA-C
NPI 1679066211ActiveIndividual· Physician Assistant· Huntingdon Valley, PA
Physician Assistant (PA-C) with Aria Health Physician Services and 1 other group, practicing in Huntingdon Valley, Pennsylvania. Medicare paid $1,541 for services to 12 patients in 2024. Lists Jefferson Health- Northeast as a hospital affiliation.
Overview
| NPI | 1679066211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 8, 2018 |
| Last updated in NPPES | Oct 23, 2020 |
| Certified by provider | Oct 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | OA004910 | PA |
| Physician Assistant, Surgical | 363AS0400X | OA004910 | PA |
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) | Enrolled Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 12 across 8 procedure codes |
| Paid by Medicare | $1,541 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Aria Health Physician ServicesPhiladelphia, PA · 450 clinicians
- Aria Health OrthopaedicsLanghorne, PA · 16 clinicians
Hospital affiliation
- Jefferson Health- NortheastPhiladelphia, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Huntingdon Valley
- 1588324677
- 1699019307
- 1790159648
- 1033073945
- 1124752506
- 1215752795
- 1265128409
- 1679756241