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

Michael Jon Broussard

Individual provider Athletic Trainer · NPI 1174415467

Michael Jon Broussard is an Athletic Trainer in Nashville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2025.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

1211 Medical Center Dr
Nashville, TN 37232-0004
Phone: (615) 322-5000
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1199 (TN)

Record details

NPI number1174415467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2025
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025
Mailing address8075 Sawyer Brown Rd Apt 1618, Nashville, TN 37221-1536

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