| Dr Bradley James Broussard, MD | |
|
4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | |
| (910) 484-2171 | |
| (910) 484-4568 |
| Full Name | Dr Bradley James Broussard |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 4140 Ferncreek Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457325110 | NPI | - | NPPES |
| 18801 | Other | NC | BCBS INDIVIDUAL ID NUMBER |
| 8918801 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 9600467 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Fear Valley Hoke Hospital | Raeford, NC | Hospital |
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cape Fear Valley Health Medical Group Llc | 0648707109 | 119 |
| Entity Name | Cape Fear Orthopaedic Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245204494 PECOS PAC ID: 3577558766 Enrollment ID: O20040416001405 |
| Entity Name | Appalachian Regional Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669533923 PECOS PAC ID: 5799877817 Enrollment ID: O20070822000932 |
| Entity Name | Cape Fear Valley Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957655 PECOS PAC ID: 0648707109 Enrollment ID: O20241220003892 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley James Broussard, MD 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 Ph: (910) 484-2171 | Dr Bradley James Broussard, MD 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 Ph: (910) 484-2171 |
Dr. Henry Lee Moss Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 800-771-6106 Fax: 910-822-7970 | |
Dr. Stephen Howard Kouba, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1219 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-609-5000 Fax: 910-615-9600 | |
Dr. Daniel B. Judd, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 0 Normandy Dr, Department Of Orthopaedics, Fayetteville, NC 28307 Phone: 910-728-7427 | |
Dr. Edwin Carraway Newman Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568 | |
Kayla Marie O'quinn, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-6918 | |
Dr. Robert John Logel, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1991 Fordham Drive, Suite 100, Fayetteville, NC 28304 Phone: 910-484-3114 Fax: 910-484-8824 | |
Dr. Douglas Sinton Mcfarlane, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568 |