CRYSTAL R BROUSSARD (MD) – Family Medicine Physician, NPI 1588688576

CRYSTAL R BROUSSARD (MD) is a healthcare provider. based in Jersey village, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. L8243 (TX). The NPI Number for CRYSTAL R BROUSSARD (MD) is 1588688576

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL R BROUSSARD (MD)
NPI
1588688576
Phone
(281) 586-3888
Address
20320 NORTHWEST FWY
Enumeration Date
26 July 2006
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8324926544
Graduation Year
2002 (24 years ago)
PAC ID
9830134139
Group Practice PAC ID
9537569843
Professional Enrollment ID
I20050627001401
Address ID
TX773867129SP3466XBLVD415
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for CRYSTAL R BROUSSARD (MD)

  • Northwest Freeway, Satsuma, Jersey Village, Harris County, Texas, 77065:77429, United States

    SUITE 900

    JERSEY VILLAGE, TX 770655641

    Phone: (281) 586-3888

    Type: Mailing

  • 27502 BLUE CEDAR LN

    SPRING, TX 773863521

    Phone: (713) 304-9337

    Type: Mailing

  • 3466 DISCOVERY CREEK BLVD STE 600

    SPRING, TX 773867129

    Phone: (324) 926-5448

    Type: Location

  • Cypress Creek Parkway, Houston, Harris County, Texas, 77090, United States

    SUITE 105

    HOUSTON, TX 770903423

    Phone: (281) 586-3888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $999.

Total Amount is formed as General ($999) + Research ($0) + Ownership ($0) = $999.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($157).

Total Amount

$999

General + Research + Ownership

Payments

43

Total payment records

General Amount

$999

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-27

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
I20050627001401IFamily PracticeTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg64458$0
99214Established patient office or other outpatient visit, 30-39 minutes579309$0
99213Established patient office or other outpatient visit, 20-29 minutes451207$0
80053Blood test, comprehensive group of blood chemicals199118$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month19427$0
View full utilization report →

Insurance plans in this area (ZIP 77065)

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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: 9537569843View full group profile
NameSpecialtyState
Internal MedicineFL
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

Can I use this page to confirm CRYSTAL R BROUSSARD (MD)'s NPI?
Yes. CRYSTAL R BROUSSARD (MD) is listed with NPI 1588688576 in the public NPI dataset.
Can I rely on CRYSTAL R BROUSSARD (MD) being an active provider?
As of the registry snapshot, CRYSTAL R BROUSSARD (MD) is marked active.
What is CRYSTAL R BROUSSARD (MD)'s primary classification?
Family Medicine Physician is the headline specialty for CRYSTAL R BROUSSARD (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for CRYSTAL R BROUSSARD (MD)?
CRYSTAL R BROUSSARD (MD)'s geographic hint is Jersey Village, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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