DWANE GERARD BROUSSARD (M.D.) – Family Medicine Physician, NPI 1902801004

DWANE GERARD BROUSSARD (M.D.) is a healthcare provider. based in Houston, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. J6352 (TX). The NPI Number for DWANE GERARD BROUSSARD (M.D.) is 1902801004

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DWANE GERARD BROUSSARD (M.D.)
NPI
1902801004
Phone
(713) 442-5200
Address
929 Gessner Rd Ste 1600
Enumeration Date
15 June 2005
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7134425200
Graduation Year
1993 (33 years ago)
PAC ID
6709810682
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20100315000423
Address ID
TX770242317HO929XXRDXX301
Telehealth
Yes

Contacts

Secure Messaging
dwane.broussard.1@13711.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,706 FAMILY PRACTICE in TX

Provider Addresses for DWANE GERARD BROUSSARD (M.D.)

  • 929 Gessner Rd Ste 1600

    Houston, TX 770242317

    Phone: (713) 442-5200

    Type: Location

  • Katy Freeway, Houston, Harris County, Texas, 77201, United States

    HOUSTON, TX 770241507

    Phone: (713) 461-2915

    Fax: (713) 461-5307

    Type: Mailing

  • 9055 KATY FWY STE 200

    HOUSTON, TX 770241629

    Phone: (713) 461-2915

    Fax: (713) 461-5307

    Type: Location

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $909.

Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Novo Nordisk Inc ($278).

Total Amount

$909

General + Research + Ownership

Payments

59

Total payment records

General Amount

$909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-03-15

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
I20100315000423IFamily 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
80053Blood test, comprehensive group of blood chemicals562398$0
80061Blood test, lipids (cholesterol and triglycerides)500360$0
99214Established patient office or other outpatient visit, 30-39 minutes492350$0
84443Blood test, thyroid stimulating hormone (tsh)402360$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count401335$0
View full utilization report →

Insurance plans in this area (ZIP 77024)

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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: 9739093527View full group profile
NameSpecialtyState
-TX
-TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
D E R M A T O L O G YTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseTX
-TX
Physician AssistantTX
Family PracticeTX
Physician AssistantMA

Reviews

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Frequently asked questions

What NPI should I save for DWANE GERARD BROUSSARD (M.D.)?
Save NPI 1902801004 if you need a stable reference for DWANE GERARD BROUSSARD (M.D.).
Is DWANE GERARD BROUSSARD (M.D.) currently active in the NPI registry?
CMS-published data lists DWANE GERARD BROUSSARD (M.D.) as an active registrant.
What does DWANE GERARD BROUSSARD (M.D.) treat or focus on?
Patients typically see DWANE GERARD BROUSSARD (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DWANE GERARD BROUSSARD (M.D.)?
The page summarizes Houston, Texas for DWANE GERARD BROUSSARD (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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