BRIAN PAUL BROUSSARD DPT NPI 1750809448

NPI Information

  • NPI: 1750809448
  • Provider Name: BRIAN PAUL BROUSSARD, DPT
  • Classification: Physical Therapist - 2251S0007X
  • Specialization: Sports
  • Entity Type: Individual
  • Address: 111 2ND AVE NE STE 1401
    ST PETERSBURG, FL
    ZIP 33701
  • Phone: (727) 258-7224

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NPI Details

Brian Paul Broussard, DPT is a sports physical therapist in St Petersburg, FL. The provider is 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. Brian Paul Broussard, DPT NPI is 1750809448. 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:

111 2ND AVE NE STE 1401
ST PETERSBURG, FL
ZIP 33701-480
Phone: (727) 258-7224

The enumeration date for this NPI number is 9/2/2017 and was last updated on 6/9/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSportsPT34062FLORIDAYes
22251S0007XPhysical TherapistSports1679719421VIRGINIANo

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: 11/21/2025

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