Individual
DR. BRADLEY JAMES BROUSSARD
Active
Individual
DR. BRADLEY JAMES BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9600467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18801
BCBS INDIVIDUAL ID NUMBER
NC
05
—
8918801
—
NC
Enumeration date
02/17/2006
Last updated
07/01/2025
Update your record
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