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

Elzia Rena Broussard, MD

Individual provider Pediatrics Physician · NPI 1376006254

Elzia Rena Broussard, MD is a Pediatrics Physician in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
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

3000 Rogers Rd Ste 210
Wake Forest, NC 27587-5745
Phone: (919) 385-2120
Fax: (919) 385-2144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2022-00924 (NC)

Record details

NPI number1376006254
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

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