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

Michael James Broussard

Individual provider Adult Companion · NPI 1104767409

Michael James Broussard is an Adult Companion in Scottsbluff, Nebraska. Licensed in Nebraska. Registered with an NPI since 2026.

Licensed in
NE
In the registry since
2026

Practice location Address checks out

615 S Beltline Hwy E Ste B
Scottsbluff, NE 69361-3510
Phone: (402) 742-0311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X (NE)

Record details

NPI number1104767409
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address615 S Beltline Hwy E Ste B, Scottsbluff, NE 69361-3510

Other providers in Scottsbluff