| Curtis A Broussard, MD | |
|
12330 Ashley Dr, Gulfport, MS 39503-2737 | |
| (228) 831-1572 | |
| Not Available |
| Full Name | Curtis A Broussard |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 12330 Ashley Dr, Gulfport, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447248661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 09015 (Mississippi) | Primary |
| Entity Name | Singing River Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
| Mailing Address | Practice Location Address |
|---|---|
| Curtis A Broussard, MD 12330 Ashley Dr, Gulfport, MS 39503-2737 Ph: () - | Curtis A Broussard, MD 12330 Ashley Dr, Gulfport, MS 39503-2737 Ph: (228) 831-1572 |
Dr. Jason Bradley Crowder, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 14245 Dedeaux Rd, Gulfport, MS 39503 Phone: 228-314-7226 Fax: 228-314-7227 | |
Mr. Eugene David Mcnally, MD MPH General Practice Medicare: Not Enrolled in Medicare Practice Location: 350 Cowan Road, Gulfport, MS 39507 Phone: 228-896-5195 Fax: 228-897-2395 | |
Dr. Kyle Thomas Strickland, DO General Practice Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4968 |