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DUSTIN COLE BROUSSARD CRNA NPI 1407151913


NPI Information

NPI: 1407151913
Provider Name: DUSTIN COLE BROUSSARD, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: IASIS GLENWOOD REGIONAL MEDICAL CENTER LP Address:
4901 GRANDE DR
PENSACOLA, FL
ZIP 32504
Phone: (850) 477-7042
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Dustin Cole Broussard, CRNA is a nurse anesthetist certified registered in Pensacola, FL with 14 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Dustin Cole Broussard, CRNA NPI is 1407151913. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4901 GRANDE DR
PENSACOLA, FL
ZIP 32504-935
Phone: (850) 477-7042
Fax: (850) 474-9060

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for lens surgery (HCPCS:00142)
  • Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)

The enumeration date for this NPI number is 1/13/2011 and was last updated on 10/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredAP06688LOUISIANAYes
2367500000XNurse Anesthetist, Certified RegisteredRN9306451FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y06R8OTHERFLORIDABLUE CROSS BLUE SHIELD
2EM626ZMEDICARE PINFLORIDA
3P00924079OTHERRAILROAD MEDICARE
4592-13560OTHERALABAMABLUE CROSS BLUE SHIELD
5003203300MEDICAIDFLORIDA
6125633MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.