DR. REBECCA JEWEL BROUSSARD (AU.D) – Audiologist, NPI 1912773250

DR. REBECCA JEWEL BROUSSARD (AU.D) is a healthcare provider. based in Tuscaloosa, Alabama. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D. They hold a License No. 1335A (AL). The NPI Number for DR. REBECCA JEWEL BROUSSARD (AU.D) is 1912773250

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA JEWEL BROUSSARD (AU.D)
NPI
1912773250
Phone
(205) 333-3330
Address
1224 MCFARLAND BLVD NE STE A
Enumeration Date
28 November 2023
Last Update Date
28 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053333330
Graduation Year
2023 (3 years ago)
PAC ID
5799121083
Group Practice PAC ID
0042436644
Professional Enrollment ID
I20240308001934
Address ID
AL354062288TU1224XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

122 QUALIFIED AUDIOLOGIST in AL

Provider Addresses for DR. REBECCA JEWEL BROUSSARD (AU.D)

  • 1224 MCFARLAND BLVD NE STE A

    TUSCALOOSA, AL 354062288

    Phone: (205) 333-3330

    Fax: (205) 333-3331

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240308001934IQualified AudiologistALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35406)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042436644View full group profile
NameSpecialtyState
Physician AssistantGA
-AL
O T O L A R Y N G O L O G YAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is there an official ID for DR. REBECCA JEWEL BROUSSARD (AU.D) in U.S. healthcare records?
The official identifier for DR. REBECCA JEWEL BROUSSARD (AU.D) is NPI 1912773250.
Active or inactive — what applies to DR. REBECCA JEWEL BROUSSARD (AU.D)?
You should see DR. REBECCA JEWEL BROUSSARD (AU.D) as active in CMS-hosted NPPES data.
How would a patient describe DR. REBECCA JEWEL BROUSSARD (AU.D)'s focus?
For DR. REBECCA JEWEL BROUSSARD (AU.D), the primary taxonomy reads as Audiologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. REBECCA JEWEL BROUSSARD (AU.D)?
Directory geography for DR. REBECCA JEWEL BROUSSARD (AU.D) centers on Tuscaloosa, Alabama.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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