DAVID WAYNE BROUSSARD (PA-C) – Physician Assistant, NPI 1487644654

DAVID WAYNE BROUSSARD (PA-C) is a healthcare provider. based in Fort sam houston, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA02959 (TX). The NPI Number for DAVID WAYNE BROUSSARD (PA-C) is 1487644654

Main info

Male
Sole Proprietor
Name
DAVID WAYNE BROUSSARD (PA-C)
NPI
1487644654
Phone
(210) 916-5000
Address
3551 ROGER BROOKE DR
Enumeration Date
27 October 2005
Last Update Date
14 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID WAYNE BROUSSARD (PA-C)

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 916-5000

    Type: Mailing

  • 717 N BUSINESS IH 35 STE 130

    NEW BRAUNFELS, TX 781307852

    Phone: (830) 627-3311

    Fax: (830) 627-3312

    Type: Mailing

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: 2017-05-01

PECOS data refreshed: 2026-05-27

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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 78234)

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Reviews

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Frequently asked questions

What unique ID ties claims to DAVID WAYNE BROUSSARD (PA-C)?
NPI 1487644654 is assigned to DAVID WAYNE BROUSSARD (PA-C) under the national enumeration system.
Is DAVID WAYNE BROUSSARD (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DAVID WAYNE BROUSSARD (PA-C)?
The page reflects Physician Assistant for DAVID WAYNE BROUSSARD (PA-C). Clinical services aligned with this taxonomy classification.
Where is DAVID WAYNE BROUSSARD (PA-C)'s primary listing?
We display Fort Sam Houston, Texas because that is what the record indicates for DAVID WAYNE BROUSSARD (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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