National Provider Identifier Database

JOHN BROUSSARD, DO – NPI #1174839161
Family Medicine - Sports Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.


Contact Information

JOHN BROUSSARD, DO
111 2ND AVE NE STE 1401
SAINT PETERSBURG, FL33701-3480
Phone: 727-258-7224
Fax:
Website:
Specialty Taxonomy Code
* Family Medicine - Sports Medicine 207QS0010X

* Indicates primary specialty

NPI Profile & details for JOHN BROUSSARD

NPI Number 1174839161
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/27/2010
Last updated 08/27/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: OS12241
  • VA License #: 0102204383
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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