Individual
DAVID M BROUHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 293-8228
(937) 293-8229
Mailing address
PO BOX 932759, CLEVELAND, OH 44193-0015
(937) 293-8228
(937) 293-8229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.130310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2026475C
MEDICARE PTAN
NC
01
—
2026475E
MEDICARE PTAN
NC
05
—
891362J
—
NC
Enumeration date
06/16/2005
Last updated
08/31/2020
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