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

Dr. Nolan Broussard, MD

Individual provider Emergency Medicine Physician · NPI 1407475726

Dr. Nolan Broussard, MD is an Emergency Medicine in Oak Lawn, Illinois. Graduated from Tulane University School of Medicine in 2020, 6 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
6
Trained at
Tulane University School of Medicine
Licensed in
CA, IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-5354
Fax: (708) 684-1028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036169908 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence PTL1734 (CA)

Record details

NPI number1407475726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2020
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address29373 Network Pl, Chicago, IL 60673-1443

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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