Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Broussard

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295187888

Alicia Broussard is a Hospitalist in Bismarck, North Dakota. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2018, 8 years ago. Practices with Sanford Bismarck, a 561-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
8
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
ND
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

222 N 7th St
Bismarck, ND 58501-4436
Phone: (701) 323-5422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 S Crismon Rd, Mesa, AZ 85209 — (480) 373-2370

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 17317 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295187888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2016
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2018 (8 years in practice)
Group practice Sanford Bismarck — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bismarck