BRIAN PAUL BROUSSARD DPT
NPI 1750809448
Physical Therapist - Sports in St Petersburg, FL
NPI Status: Active since September 02, 2017
Contact Information
111 2ND AVE NE STE 1401
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 258-7224
- Individual
- Male
- Physical Therapist
- Sports
About BRIAN BROUSSARD
This page provides the complete NPI Profile along with additional information for Brian Broussard, a provider established in St Petersburg, Florida with a medical specialization in Physical Therapist, focusing in sports . The healthcare provider is registered in the NPI registry with number 1750809448 assigned on September 2017. The practitioner's primary taxonomy code is 2251S0007X with license number PT34062 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1750809448
- Provider Name
- BRIAN PAUL BROUSSARD DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 111 2ND AVE NE STE 1401 ST PETERSBURG, FL 33701
- Location Phone
- (727) 258-7224
- Mailing Address
- 111 2ND AVE NE STE 1401 ST PETERSBURG, FL 33701
- Mailing Phone
- (727) 258-7224
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-02-2017
- Last Update Date
- 06-09-2021
- Code Navigator
Location Map
Secondary Locations
- 2751 Prosperity Ave
Fairfax, VA 22031
(703) 237-3930 - 15049 Bruce B Downs Blvd
Tampa, FL 33647
(813) 563-7668
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Sports
- Taxonomy Code
- 2251S0007X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT34062
- License State
- FL
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 1679719421 (VA) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 8 | 0 | 9 | 4 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 16 | 0 | 18 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 6 + 0 + 1 + 8 + 4 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1750809448 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174839161 | DR. JOHN BROUSSARD DO Individual | Family Medicine (Sports Medicine) | 111 2ND AVE NE STE 1401 ST PETERSBURG, FL 33701 (727) 258-7224 |
| 1033701123 | ALLIANCE SPORTS REHAB Organization | Physical Therapist (Sports) | 111 2ND AVE NE STE 1401 ST PETERSBURG, FL 33701 (727) 258-7224 |
| 1104418292 | ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC Organization | Family Medicine (Sports Medicine) | 111 2ND AVE NE STE 1401 ST PETERSBURG, FL 33701 (727) 258-7224 |
| 1710680533 | DR. DENNIS COLON DPT Individual | Physical Therapist | 111 2ND AVE NE STE 1401 ST PETERSBURG, FL 33701 (727) 258-7224 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750809448, enumerated in the NPI registry as an "individual" on September 02, 2017
The provider is located at 111 2nd Ave Ne Ste 1401 St Petersburg, Fl 33701 and the phone number is (727) 258-7224
The provider's speciality is Physical Therapist with taxonomy code 2251S0007X with a focus in Sports
This NPI record was last updated on September 02, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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