Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SIDNEY BROUSSARD III
Active Sole ProprietorMR. SIDNEY BROUSSARD III is a Bus healthcare provider located in PALMDALE, California. NPI 1639814205 is currently active in the NPPES registry. Verify at CMS.
Bus · PALMDALE, CA
Registration Details
- NPI Number
- 1639814205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2022 (4.3360013688902 yrs)
- Last Updated
- Apr 29, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1008 W AVENUE M14 STE AD383PALMDALE, CA, 935511441Browse CA providers · Browse ZIP 93551
- Phone
- 6615106524
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in PALMDALE, CA
| Name | Credential | NPI |
|---|---|---|
| LONYEA JEFFERSON | — | 1457740763 |
| TINA NEWSOME | — | 1013799790 |
| JASON R PORTEE | — | 1518767763 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.