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Active NPI 1659761351 Individual Practitioner Male Practitioner

Dr. Bryan Broussard , DDS

Dentist - General Practice • Worthington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Broussard, DDS is a registered healthcare professional specializing in Dentist - General Practice in Worthington, MN. Practice services are available at 1027 2ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1027 2nd Ave

Worthington, MN 561872380

Telephone 5073727339
Associated Practice Facility / Clinic
🏢 E.t. Mcniece Dds, P.a. Facility NPI 1043433048

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Worthington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Worthington, MN (2262 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D13492

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1306984539

Doctor of Dental Surgery

NPI 1639347917

Doctor of Dental Surgery

NPI 1871932681

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2015

Registered at 1027 2ND AVE, WORTHINGTON, MN 561872380 (Tel: 5073727339)

📍
Updated Business Mailing Address February 02, 2015

Registered at 1027 2ND AVE, WORTHINGTON, MN 561872380 (Tel: 5073727339)

👤
Provider Name / Credentials Updated February 02, 2015

Recorded as BRYAN BROUSSARD, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2015

Dentist (License #D13492 in MN)

🟢
Initial NPI Registration & Enumeration February 02, 2015

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: 1659761351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2015
Last Update: February 02, 2015
Sole Proprietor: No

Mailing Address

1027 2nd Ave

Worthington, MN 561872380

Phone: 5073727339

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.