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Deactivated NPI 1609827096 Deactivated / Inactive NPI Male Practitioner

Dr. William J Broussard , MD

Ophthalmology • Melbourne, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Broussard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 12, 2006
NPI Deactivation Date September 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. William Broussard, MD was a registered Ophthalmology practicing in Melbourne, FL. Throughout an active medical career spanning 13 years, Dr. Broussard provided care at the practice location at 502 E. NEW HAVEN AVE. until profile deactivation on 2019-09-09.

Practice Location & Contact Primary Location

Practice Address

502 E. New Haven Ave.

Melbourne, FL 329015427

Telephone 3217272020
Fax 3219849547
Associated Practice Facility / Clinic
🏢 Florida Eye Associates Inc Facility NPI 1285684399

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Melbourne, FL (1686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME9669

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Jodi Foster , HAS, BC-HIS

Hearing Instrument Specialist

NPI 1003409525

HAS, BCHIS

NPI 1124282041

Doctor of Optometry

Dr. L Freeman , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1154372605

Doctor of Medicine (M.D.)

NPI 1184675415

Doctor of Optometry

NPI 1194775387

Doctor of Medicine (M.D.)

NPI 1245503671

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 09, 2019

Record deactivated on September 09, 2019

NPI Profile Active April 09, 2014

NPI status registered as active in NPPES database

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Updated Practice Location April 09, 2014

Registered at 502 E. NEW HAVEN AVE., MELBOURNE, FL 329015427 (Tel: 3217272020)

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Updated Business Mailing Address April 09, 2014

Registered at 502 E. NEW HAVEN AVE., MELBOURNE, FL 329015427 (Tel: 3217272020)

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Provider Name / Credentials Updated April 09, 2014

Recorded as WILLIAM BROUSSARD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2014

Ophthalmology (License #ME9669 in FL)

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Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609827096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: April 09, 2014
Deactivation Date: September 09, 2019

Mailing Address

502 E. New Haven Ave.

Melbourne, FL 329015427

Phone: 3217272020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.